Organization
HEAVEN-ON-EARTH NETWORK, INC.
Active
Organization
HEAVEN-ON-EARTH NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE M GUILLORY (DIRECTOR)
(337) 562-1373
Entity
Organization
Contact information
Practice address
3200 2ND AVE, LAKE CHARLES, LA 70601-8922
(337) 562-1373
(337) 562-1374
Mailing address
3200 2ND AVE, LAKE CHARLES, LA 70601-8922
(337) 562-1373
(337) 562-1374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PCA 10734
LA
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171336
—
LA
Enumeration date
11/28/2006
Last updated
08/29/2023
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