Organization
HEAVENLY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO B. SANTILLAN R.N. (CEO/PRESIDENT)
(818) 500-9007
Entity
Organization
Contact information
Practice address
805 E BROADWAY STE H, GLENDALE, CA 91205-4539
(818) 500-9007
(818) 500-9052
Mailing address
805 E BROADWAY STE H, GLENDALE, CA 91205-4539
(818) 500-9007
(818) 500-9052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001026
CA
Other
Enumeration date
01/04/2009
Last updated
04/29/2013
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