Organization
HEAVENLY HEARTS HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE HODGES (OWNER)
(757) 295-6104
Entity
Organization
Contact information
Practice address
6128 BRADFORD DR UNIT A, SUFFOLK, VA 23435-2882
(757) 295-6104
Mailing address
6128 BRADFORD DR UNIT A, SUFFOLK, VA 23435-2882
(757) 295-6104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/17/2023
Last updated
05/16/2024
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