Organization
HEAVENLLY HANDS HOME HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN WILSON (OWNER/ADMINISTRATOR)
(757) 632-9454
Entity
Organization
Contact information
Practice address
4425 PORTSMOUTH BLVD, SUITE 210 E, CHESAPEAKE, VA 23321-2152
(757) 632-9454
Mailing address
4425 PORTSMOUTH BLVD, SUITE 210 E, CHESAPEAKE, VA 23321-2152
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
HCO-141137
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174648763
—
VA
05
—
0174648847
—
VA
Enumeration date
07/22/2014
Last updated
07/22/2014
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