Organization
HEAVEN5ENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JONES (OWNER)
(757) 300-7747
Entity
Organization
Contact information
Practice address
3241 TWINFLOWER LN, VIRGINIA BEACH, VA 23453-5917
(757) 300-7747
(757) 689-6180
Mailing address
3241 TWINFLOWER LN, VIRGINIA BEACH, VA 23453-5917
(757) 300-7747
(757) 689-6180
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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