Organization
HEAVENLY SENT HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELISA LEE (OWNER/MANAGER)
(706) 627-8162
Entity
Organization
Contact information
Practice address
3566 WINDERMERE DR, HEPHZIBAH, GA 30815-6201
(706) 627-8162
Mailing address
3566 WINDERMERE DR, HEPHZIBAH, GA 30815-6201
(706) 627-8162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LCB20100001456
GA
251J00000X
Nursing Care Agency
LCB20100001456
GA
253Z00000X
In Home Supportive Care Agency
LCB20100001456
GA
Other
Enumeration date
02/28/2011
Last updated
08/20/2014
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