Organization
HEAVENLY HEARTS HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRAL JACKSON (OWNER)
(989) 395-4874
Entity
Organization
Contact information
Practice address
2527 DOW PL, SAGINAW, MI 48602-3542
(989) 395-4874
Mailing address
2527 DOW PL, SAGINAW, MI 48602-3542
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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