# HEAVENLY HANDSPCS,LLC

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

## Provider details

- **NPI number:** 1487830956
- **Authorized official:** RUTH WICKS (DIRECTOR)
- **Authorized official phone:** (225) 279-3184

## Contact information

- **Practice address:** 918 MAIN ST, STE A, BAKER, LA 70714-3444
- **Practice address phone:** (225) 775-1712
- **Practice address fax:** (225) 775-1713
- **Mailing address:** 918 MAIN ST, STE A, BAKER, LA 70714-3444
- **Mailing address phone:** (225) 775-1712
- **Mailing address fax:** (225) 775-1713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PCA12496 | LA | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008