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Organization
HEAVENLY HOME CARE AGENCY INC.
Active
Organization
HEAVENLY HOME CARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY BAZEMORE JOHNSON (DIRECTOR/CEO)
(910) 977-4650
Entity
Organization
Contact information
Practice address
2932 BREEZEWOOD AVE STE 102, FAYETTEVILLE, NC 28303-5455
(910) 745-9330
(910) 745-9012
Mailing address
2932 BREEZEWOOD AVE STE 102, FAYETTEVILLE, NC 28303-5455
(910) 745-9330
(910) 745-9012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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