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Organization

HEAVEN'S HAVEN LIVING FACILITY

Active
Other names
Heaven's Haven Living Facility, Heaven's Haven Living Facility LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CIELITA EZELL (PROVIDER)
(251) 509-8641
Entity
Organization

Contact information

Practice address
6300 GRELOT RD # STG1235, MOBILE, AL 36609-3602
(251) 509-8641
Mailing address
6300 GRELOT RD # STG1235, MOBILE, AL 36609-3602
(251) 509-8641

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
06/09/2020
Last updated
11/01/2021
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