Organization
HEAVEN CARE LLC
Active
Other names
Heaven Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GENET HAILU (PRESIDENT)
(615) 779-1511
Entity
Organization
Contact information
Practice address
4316 SUMMERCREST BLVD, ANTIOCH, TN 37013-5805
(615) 779-1511
Mailing address
4316 SUMMERCREST BLVD, ANTIOCH, TN 37013-5805
(615) 779-1511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
05/11/2023
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