# HEAVEN-ON-EARTH NETWORK OF MAMOU, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heaven-On-Earth Network, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184851453
- **Authorized official:** MR. MYRON CORDELL GUILLORY (OWNER)
- **Authorized official phone:** (434) 229-4962

## Contact information

- **Practice address:** 1321 4TH STREET, MAMOU, LA 70554
- **Practice address phone:** (337) 468-2730
- **Practice address fax:** (337) 468-2782
- **Mailing address:** 1321 4TH STREET, MAMOU, LA 70554
- **Mailing address phone:** (337) 468-2730
- **Mailing address fax:** (337) 468-2782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 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