Organization
HEAVENLY SUNSHINE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABINA GRESHAM (DIRECTOR/OWNER)
(706) 549-2289
Entity
Organization
Contact information
Practice address
975 GAINES SCHOOL RD # BUILD-4, ATHENS, GA 30605-3133
(706) 549-2289
(706) 549-1177
Mailing address
975 GAINES SCHOOL RD # BUILD-4, ATHENS, GA 30605-3133
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
109-R-0323
GA
376K00000X
Nurse's Aide
Primary
109-R-0323
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132295A
—
GA
05
—
896062924A
—
GA
05
—
896062924B
—
GA
05
—
896062924D
—
GA
05
—
896062924E
—
GA
Enumeration date
10/14/2013
Last updated
10/14/2013
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