Organization
HEAVENLY SENIOR CARE LLC
Active
Other names
Heavenly Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY POLYCARPE (ADMINISTRATOR)
(954) 281-6815
Entity
Organization
Contact information
Practice address
115 SW 9TH TER APT 303, FT LAUDERDALE, FL 33312-1744
(954) 281-6815
Mailing address
115 SW 9TH TER APT 303, FT LAUDERDALE, FL 33312-1744
(954) 281-6815
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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