Organization
HEAVENS HAVEN HOMECARE
Active
Other names
HEAVENS HAVEN HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
CIELITA EZELL (PROVIDER)
(251) 509-8641
Entity
Organization
Contact information
Practice address
1025 COLONIAL CT, MOBILE, AL 36606-1148
(251) 509-8641
Mailing address
6300 GRELOT RD STE G1235, MOBILE, AL 36609-3602
(251) 509-8641
(251) 385-5561
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QV0200X
VA Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
332U00000X
Home Delivered Meals
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/24/2021
Last updated
02/18/2022
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