# BITS OF HEAVEN IN HOME SERVICES, LLC

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

## Provider details

- **NPI number:** 1770139172
- **Authorized official:** MS. CAROL SUE COFFEE RN (OWNER/RN)
- **Authorized official phone:** (573) 722-6111

## Contact information

- **Practice address:** 504 S VINE ST, ADVANCE, MO 63730-8060
- **Practice address phone:** (573) 722-6111
- **Practice address fax:** (573) 722-6555
- **Mailing address:** 504 S VINE ST, ADVANCE, MO 63730-8060
- **Mailing address phone:** (573) 722-6111
- **Mailing address fax:** (573) 722-6111

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 08/13/2019