Organization
HEAVENLY HOLDEN HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CIERRIA ESTAVONNE NASH (OWNER)
(832) 704-8325
Entity
Organization
Contact information
Practice address
8987 US HIGHWAY 259, NACOGDOCHES, TX 75965-0826
(832) 797-9028
Mailing address
8987 US HIGHWAY 259, NACOGDOCHES, TX 75965-0826
(832) 797-9028
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/12/2023
Last updated
03/24/2025
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