Organization
HEAVEN ON EARTH HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COBEAI RILEY (PRESIDENT)
(570) 216-6183
Entity
Organization
Contact information
Practice address
4000 PRESIDENTIAL BLVD APT 906, PHILADELPHIA, PA 19131-1720
(570) 216-6183
Mailing address
4000 PRESIDENTIAL BLVD APT 906, PHILADELPHIA, PA 19131-1720
(570) 216-6183
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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