Organization
HEAVENLY HANDS COMPANION & HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA WHITE (ADMINISTRATION)
(863) 934-6216
Entity
Organization
Contact information
Practice address
108 EAST JAMES ST, DAVENPORT, FL 33836
(863) 934-6216
(863) 421-0400
Mailing address
PO BOX 1646, DAVENPORT, FL 33836-1646
(863) 934-6216
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101318600
—
FL
Enumeration date
11/09/2020
Last updated
11/09/2020
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