Organization
HEAVENLY CARE STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN EUGENE WHITE (CHIEF FINANCIAL OFFICER)
(210) 837-6058
Entity
Organization
Contact information
Practice address
6710 WINDFIELD GAP, CONVERSE, TX 78109-3531
(210) 888-1976
Mailing address
6710 WINDFIELD GAP, CONVERSE, TX 78109-3531
(210) 888-1976
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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