# HEAVENLY HEARTS HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1881152460
- **Authorized official:** SHONDRAL JACKSON (OWNER)
- **Authorized official phone:** (989) 395-4874

## Contact information

- **Practice address:** 2527 DOW PL, SAGINAW, MI 48602-3542
- **Practice address phone:** (989) 395-4874
- **Mailing address:** 2527 DOW PL, SAGINAW, MI 48602-3542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2019
- **Last updated:** 03/04/2019