Organization
A HEAVENLY HOME, LLC
Active
Other names
A Heavenly Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARICE V DUCTANT (OWNER)
(305) 332-5034
Entity
Organization
Contact information
Practice address
1046-1048 NW 8TH AVE, FORT LAUDERDALE, FL 33311-3331
(305) 332-5034
Mailing address
21135 NW 14TH PL APT 157, MIAMI GARDENS, FL 33169-2941
(305) 332-5034
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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