Organization
HEAVN ON EARTH
Active
Other names
Heavn On Earth
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA QUARTERMAN (EXECUTIVE DIRECTOR)
(804) 420-7667
Entity
Organization
Contact information
Practice address
3847A S CRATER RD, PETERSBURG, VA 23805-9203
(804) 420-7667
(804) 732-3961
Mailing address
2775 DEER RUN DR, SOUTH PRINCE GEORGE, VA 23805-8056
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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