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Organization
HEAVENLY TOUCH HOMECARE LLC
Active
Organization
HEAVENLY TOUCH HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEADRE THOMPSON (RN/ OWNER)
(601) 214-9881
Entity
Organization
Contact information
Practice address
2230 NEWPORT ST, JACKSON, MS 39213-5436
(601) 214-9881
Mailing address
2230 NEWPORT ST, JACKSON, MS 39213-5436
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
—
—
163WX1500X
Ostomy Care Registered Nurse
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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