Organization
HEAVENLY GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA EVANS (PRESIDENT)
(601) 490-0109
Entity
Organization
Contact information
Practice address
6847 HIGHWAY 505, LAWRENCE, MS 39336-6312
(601) 490-0109
Mailing address
6847 HIGHWAY 505, LAWRENCE, MS 39336-6312
(601) 490-0109
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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