Organization
A HEAVENLY HOME, LLC
Active
Organization
A HEAVENLY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER RODRIGUES JIMENEZ (OWNER)
(310) 889-8586
Entity
Organization
Contact information
Practice address
1920 PROSPECT AVE, PASO ROBLES, CA 93446-6343
(310) 889-8586
(805) 296-3239
Mailing address
1920 PROSPECT AVE, PASO ROBLES, CA 93446-6343
(310) 889-8586
(805) 296-3239
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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