Organization
HEAVEN BOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO LUIS REMEDIOS (DIRECTOR)
(805) 868-1269
Entity
Organization
Contact information
Practice address
3166 STAR DR, LAKE HAVASU CITY, AZ 86406-7186
(928) 732-6722
Mailing address
PO BOX 344, HELENDALE, CA 92342-0344
(805) 868-1269
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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