# HEAVENLY SENT HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1770881732
- **Authorized official:** MRS. SHELISA LEE (OWNER/MANAGER)
- **Authorized official phone:** (706) 627-8162

## Contact information

- **Practice address:** 3566 WINDERMERE DR, HEPHZIBAH, GA 30815-6201
- **Practice address phone:** (706) 627-8162
- **Mailing address:** 3566 WINDERMERE DR, HEPHZIBAH, GA 30815-6201
- **Mailing address phone:** (706) 627-8162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | LCB20100001456 | GA | Yes |
| 251J00000X | Nursing Care Agency | LCB20100001456 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | LCB20100001456 | GA | — |

## Other

- **Enumeration date:** 02/28/2011
- **Last updated:** 08/20/2014