Organization
SHEILA ISAAC
Active
Other names
Heavenly Care Community Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHEILA F ISAAC (ADMINISTRATOR)
(903) 758-9886
Entity
Organization
Contact information
Practice address
409 S MAIN ST, SUITE A, LONGVIEW, TX 75601-7432
(903) 758-9886
Mailing address
409 S MAIN ST, SUITE A, LONGVIEW, TX 75601-7432
(903) 758-9886
(903) 234-0068
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
87Y/0000HO87Y
TX
Other
Enumeration date
08/30/2006
Last updated
07/21/2007
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