# HEAVENLY WORKS HOME HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heavenly Works Home Health Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700115912
- **Authorized official:** MS. WANDA RENNE RIDDICK 99 CREDITS (NURSE ADMINISTRATOR)
- **Authorized official phone:** (757) 717-1785

## Contact information

- **Practice address:** 5040 VIRGINIA BEACH BLVD, 103, VIRGINIA BCH, VA 23462-6637
- **Practice address phone:** (757) 718-7355
- **Practice address fax:** (757) 961-8744
- **Mailing address:** 5040 VIRGINIA BEACH BLVD, 103, VIRGINIA BCH, VA 23462-6637
- **Mailing address phone:** (757) 718-7355
- **Mailing address fax:** (757) 961-8744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 128291 | VA | Yes |

## Other

- **Enumeration date:** 12/17/2009
- **Last updated:** 12/17/2009