Organization
HEAVENLY SPIRITS
Active
Other names
H.S. Inc. Life Skills
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RAE WILLIAMS (DIRECTOR)
(323) 292-4193
Entity
Organization
Contact information
Practice address
1007 PARADISE VIEW ST, HENDERSON, NV 89052-3937
(310) 503-5362
Mailing address
4626 ARLINGTON AVE, LOS ANGELES, CA 90043-1451
(323) 292-4193
(323) 292-8647
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
65267405
CA
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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