Organization
HEAVENSENT HOME HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD SMITH JR. (ADMINISTRATOR)
(561) 496-7772
Entity
Organization
Contact information
Practice address
7551 WILES RD, #203, CORAL SPRINGS, FL 33067-2064
(954) 317-3608
(800) 483-7216
Mailing address
7431 W ATLANTIC AVE, #32, DELRAY BEACH, FL 33446-3512
(561) 496-7772
(800) 483-7216
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211338
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
09/30/2016
Last updated
09/30/2016
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