Organization
HEAVEN CARE LLC
Active
Other names
Heaven Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY YOUNG (OWNER)
(480) 580-4062
Entity
Organization
Contact information
Practice address
2828 S STANDAGE, MESA, AZ 85202-8139
(480) 580-4062
(480) 839-4273
Mailing address
3116 S MILL AVE STE 176, TEMPE, AZ 85282-3675
(480) 580-4062
(480) 839-4273
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
01/17/2023
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