Organization
HEAVENLY HAVEN CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY NELSON (CEO)
(225) 357-7206
Entity
Organization
Contact information
Practice address
2580 72ND AVE, BATON ROUGE, LA 70807-6015
(225) 357-7206
(225) 357-7244
Mailing address
4824 E BROOKSTOWN DR, BATON ROUGE, LA 70805-3823
(225) 357-7206
(225) 357-7244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5050
LA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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