Organization
HEAVENLY AIM LLC
Active
Organization
HEAVENLY AIM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE FORD (OWNER)
(770) 733-5833
Entity
Organization
Contact information
Practice address
5826 AMBROSE CIR, TEMPLE, TX 76502-4404
(770) 733-5833
Mailing address
5826 AMBROSE CIR, TEMPLE, TX 76502-4404
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
09/08/2025
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