Organization
HEAVENLY DELIGHT LOVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA DENISE MILES (CEO)
(832) 388-3907
Entity
Organization
Contact information
Practice address
2302 PENICK RD., WALLER, TX 77484
(832) 388-3907
Mailing address
PO BOX 232, HOCKLEY, TX 77447-0232
(832) 388-3907
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
07/10/2008
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