# HEAVEN SENT MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1467760843
- **Authorized official:** LYNN RENAY PARKER ANP (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (732) 259-5156

## Contact information

- **Practice address:** 284 E LAKE AVE, RAHWAY, NJ 07065-4942
- **Practice address phone:** (732) 259-5156
- **Mailing address:** 284 E LAKE AVE, RAHWAY, NJ 07065-4942
- **Mailing address phone:** (732) 259-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00084000 | NJ | Yes |

## Other

- **Enumeration date:** 09/19/2010
- **Last updated:** 01/09/2012
