Organization
HEAVENLY HOST ELDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE JACKSON (EXECUTIVE DIRECTOR)
(434) 227-4202
Entity
Organization
Contact information
Practice address
979 WARWICK CT, CHARLOTTESVILLE, VA 22901-3755
(434) 227-4202
Mailing address
979 WARWICK CT, CHARLOTTESVILLE, VA 22901-3755
(434) 227-4202
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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