Organization
HEAVEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYAZ VEYSALOV (PRESIDENT)
(814) 218-5827
Entity
Organization
Contact information
Practice address
1401 PARADE ST, ERIE, PA 16503-1127
(814) 218-5827
Mailing address
3919 COLONIAL AVE, ERIE, PA 16506-3840
(814) 218-5827
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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