Organization
HEAVENLY HANDS HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMETHA CHERIE BROADWATER LPN (OWNER)
(423) 646-1560
Entity
Organization
Contact information
Practice address
151 REEDY ST, BRISTOL, VA 24201-3126
(423) 646-1560
Mailing address
151 REEDY ST, BRISTOL, VA 24201-3126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
2012 24558
TN
251E00000X
Home Health Agency
Primary
27326
VA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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