Organization
HEAVENLY HEALING HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUILLET MCKAY KOFA (REGISTERED NURSE/OWNER)
(267) 499-0182
Entity
Organization
Contact information
Practice address
7850 BULLFINCH LN, INDIANAPOLIS, IN 46239-7955
(267) 499-0182
Mailing address
7850 BULLFINCH LN, INDIANAPOLIS, IN 46239-7955
(267) 499-0182
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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