Organization
HEAVEN'S HALO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL FERN DEAN (OWNER)
(502) 510-0591
Entity
Organization
Contact information
Practice address
101 MANOR AVE STE 100, BARDSTOWN, KY 40004-3211
(502) 348-0439
Mailing address
101 MANOR AVE STE 100, BARDSTOWN, KY 40004-3211
(502) 348-0439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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