Organization
HEAVENLY STAFFING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE RODRIGUEZ (ADMINISTRATOR)
(718) 848-4844
Entity
Organization
Contact information
Practice address
15615 76TH ST, HOWARD BEACH, NY 11414-2517
(718) 848-4844
(888) 491-9606
Mailing address
PO BOX 140443, STATION B, HOWARD BEACH, NY 11414-0443
(718) 848-4844
(888) 491-9606
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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