Organization
HEAVENLY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE MC NEILL (PRESIDENT/DIRECTOR)
(910) 978-8388
Entity
Organization
Contact information
Practice address
102 S. WILSON AVE, STE H, DUNN, NC 28334-4960
(910) 978-8388
(910) 892-2987
Mailing address
102 S. WILSON AVE, STE H, DUNN, NC 28334-4960
(910) 978-8388
(910) 892-2987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC3627
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC3627
NC
Other
Enumeration date
01/05/2007
Last updated
05/30/2013
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