# WILLOW HEAVEN LLC

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

## Provider details

- **NPI number:** 1447164769
- **Authorized official:** DANIA SIMEUS (OWNER)
- **Authorized official phone:** (701) 987-8945

## Contact information

- **Practice address:** 3213 43RD AVE NE APT 319, BISMARCK, ND 58503-8090
- **Practice address phone:** (701) 415-5267
- **Mailing address:** 3213 43RD AVE NE APT 319, BISMARCK, ND 58503-8090
- **Mailing address phone:** (701) 415-5267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2026
- **Last updated:** 10/01/2026