# HEAVENLY HANDS COMPANION & HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1841891579
- **Authorized official:** PORTIA WHITE (ADMINISTRATION)
- **Authorized official phone:** (863) 934-6216

## Contact information

- **Practice address:** 108 EAST JAMES ST, DAVENPORT, FL 33836
- **Practice address phone:** (863) 934-6216
- **Practice address fax:** (863) 421-0400
- **Mailing address:** PO BOX 1646, DAVENPORT, FL 33836-1646
- **Mailing address phone:** (863) 934-6216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 11/09/2020