# HEAVENLY CARE

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

## Provider details

- **NPI number:** 1649541798
- **Authorized official:** BERNADETTE P RODRIGUEZ (PRESIDENT/ CEO)
- **Authorized official phone:** (414) 610-4557

## Contact information

- **Practice address:** 1016 W PIERCE ST, MILWAUKEE, WI 53204-1327
- **Practice address phone:** (414) 610-4557
- **Practice address fax:** (414) 434-1981
- **Mailing address:** PO BOX 44331, WEST ALLIS, WI 53214-7331
- **Mailing address fax:** (414) 434-1981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2012
- **Last updated:** 01/21/2012