Organization
HEAVEN CARE NURSING AGENCY
Active
Parent organization
HEAVEN CARE NURSING AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEAVEN CARE NURSING AGENCY
Authorized official
DOMINIQUE CHARLES-BOUTE (ADMINISTRATOR)
(754) 400-0887
Entity
Organization
Contact information
Practice address
20295 NW 2ND AVE, SUITE 301, MIAMI GARDENS, FL 33169-2550
(754) 400-0887
Mailing address
20295 NW 2ND AVE, SUITE 301, MIAMI GARDENS, FL 33169-2550
(754) 400-0887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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