Organization
HEAVENLY HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELANDE OCZEUS (OWNER)
(561) 969-8969
Entity
Organization
Contact information
Practice address
5700 LAKE WORTH RD STE 201-Q, GREENACRES, FL 33463-3204
(561) 969-8969
Mailing address
5700 LAKE WORTH RD STE 201-Q, GREENACRES, FL 33463-3204
(561) 969-8969
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
09/23/2021
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