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Organization

HEAVENS ANGEL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAURICE BYNUM (PRESIDENT)
(951) 378-6247
Entity
Organization

Contact information

Practice address
24771 SKYLAND DR, MORENO VALLEY, CA 92557-5139
(951) 378-6247
Mailing address
24771 SKYLAND DR, MORENO VALLEY, CA 92557-5139
(951) 378-6247

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0066482
FL

Other

Enumeration date
01/02/2009
Last updated
01/02/2009
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