Organization
HEAVEN LEE HANDS HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEDRIC LEE PCA (OWNER)
(804) 787-4499
Entity
Organization
Contact information
Practice address
527 N LABURNUM AVE APT 2, RICHMOND, VA 23223-2943
(804) 787-4499
Mailing address
3002 FENDALL AVE APT B, RICHMOND, VA 23222-2608
(804) 787-4499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
H18667014
VA
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/22/2018
Last updated
10/28/2022
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