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Organization
HEAVEN-ON-EARTH NETWORK OF MAMOU, LLC
Active
Organization
HEAVEN-ON-EARTH NETWORK OF MAMOU, LLC
Active
Other names
Heaven-On-Earth Network, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYRON CORDELL GUILLORY (OWNER)
(434) 229-4962
Entity
Organization
Contact information
Practice address
1321 4TH STREET, MAMOU, LA 70554
(337) 468-2730
(337) 468-2782
Mailing address
1321 4TH STREET, MAMOU, LA 70554
(337) 468-2730
(337) 468-2782
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
15227
LA
253Z00000X
In Home Supportive Care Agency
20161
LA
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/15/2009
Last updated
02/17/2025
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