Organization
HEAVENLY VIRTUES, LLC
Active
Organization
HEAVENLY VIRTUES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET CARR-PRIESTER (PRESIDENT)
(561) 577-0893
Entity
Organization
Contact information
Practice address
6261 WAUCONDA WAY W, LAKE WORTH, FL 33463-5871
(561) 577-0893
Mailing address
6261 WAUCONDA WAY W, LAKE WORTH, FL 33463-5871
(561) 577-0893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/08/2016
Last updated
06/17/2016
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