# HEAVEN'S ANGELS HEALTH CARE SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316030695
- **Authorized official:** MR. RAPHIDIEN LUCENA DAWIS (ADMINISTRATOR/PRESIDENT)
- **Authorized official phone:** (847) 679-7682

## Contact information

- **Practice address:** 7366 N LINCOLN AVE, SUITE 202, LINCOLNWOOD, IL 60712-1708
- **Practice address phone:** (847) 679-7682
- **Practice address fax:** (847) 679-7685
- **Mailing address:** 7366 N LINCOLN AVE, SUITE 202, LINCOLNWOOD, IL 60712-1708
- **Mailing address phone:** (847) 679-7682
- **Mailing address fax:** (847) 679-7685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010563 | IL | Yes |

## Other

- **Enumeration date:** 10/01/2006
- **Last updated:** 01/25/2013