# HEAVEN'S HALO

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

## Provider details

- **NPI number:** 1396480604
- **Authorized official:** RACHEL FERN DEAN (OWNER)
- **Authorized official phone:** (502) 510-0591

## Contact information

- **Practice address:** 101 MANOR AVE STE 100, BARDSTOWN, KY 40004-3211
- **Practice address phone:** (502) 348-0439
- **Mailing address:** 101 MANOR AVE STE 100, BARDSTOWN, KY 40004-3211
- **Mailing address phone:** (502) 348-0439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2022
- **Last updated:** 05/02/2022