# HEAVENLY HEALING HOMECARE LLC

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

## Provider details

- **NPI number:** 1639911431
- **Authorized official:** JUILLET MCKAY KOFA (REGISTERED NURSE/OWNER)
- **Authorized official phone:** (267) 499-0182

## Contact information

- **Practice address:** 7850 BULLFINCH LN, INDIANAPOLIS, IN 46239-7955
- **Practice address phone:** (267) 499-0182
- **Mailing address:** 7850 BULLFINCH LN, INDIANAPOLIS, IN 46239-7955
- **Mailing address phone:** (267) 499-0182

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 06/11/2024