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Organization

HEAVEN HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YANNET DIEGUEZ RODRIGUEZ (MANAGER)
(561) 451-6464
Entity
Organization

Contact information

Practice address
1781 NW 123RD AVE, PEMBROKE PINES, FL 33026-4383
(561) 451-6464
Mailing address
11303 TEMPLE ST, COOPER CITY, FL 33330-4442
(561) 451-6464

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/18/2020
Last updated
06/18/2020
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