Organization
HEAVENLY HELPERS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSIE DAVIS (OWNER)
(407) 881-8726
Entity
Organization
Contact information
Practice address
707 COCKATOO CT, KISSIMMEE, FL 34759-4510
(813) 863-6776
Mailing address
707 COCKATOO CT, KISSIMMEE, FL 34759-4510
(813) 863-6776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639389
—
FL
Enumeration date
09/29/2016
Last updated
09/29/2016
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