Organization
HEAVENLY HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRISHA MASON (PRESIDENT/CEO)
(402) 502-8330
Entity
Organization
Contact information
Practice address
2216 AVERY RD E, BELLEVUE, NE 68005-4643
(402) 502-8330
(402) 502-8331
Mailing address
2216 AVERY RD E, BELLEVUE, NE 68005-4643
(402) 502-8330
(402) 502-8331
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
08/25/2011
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