Organization
HEAVENLY CARE LLC
Active
Other names
Heavenly Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KANOBAYITA DORIS (DIRECTOR)
(601) 316-1347
Entity
Organization
Contact information
Practice address
3129 W ACAPULCO LN, PHOENIX, AZ 85053-4885
(601) 316-1347
Mailing address
3129 W ACAPULCO LN, PHOENIX, AZ 85053-4885
(601) 316-1347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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