# HEAVEN LEE HANDS HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1588145163
- **Authorized official:** MR. DEDRIC LEE PCA (OWNER)
- **Authorized official phone:** (804) 787-4499

## Contact information

- **Practice address:** 527 N LABURNUM AVE APT 2, RICHMOND, VA 23223-2943
- **Practice address phone:** (804) 787-4499
- **Mailing address:** 3002 FENDALL AVE APT B, RICHMOND, VA 23222-2608
- **Mailing address phone:** (804) 787-4499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | H18667014 | VA | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/22/2018
- **Last updated:** 10/28/2022