Organization
HEAVENLY HEALING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA G MCMILLIAN ADMINISTRATIVE (OWNER)
(414) 940-0465
Entity
Organization
Contact information
Practice address
8225 NORTH 107TH STREET, MILWAUKEE, WI 53218
(727) 697-7241
Mailing address
PO BOX 250394, MILWAUKEE, WI 53225-6504
(414) 940-0465
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003141391
—
WI
Enumeration date
10/05/2009
Last updated
12/12/2017
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