Organization
HEAVEN HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED HASSAN ISMAIL (OWNER)
(651) 340-6456
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE S149, SAINT PAUL, MN 55104-2891
(651) 340-6456
Mailing address
1821 UNIVERSITY AVE W STE S149, SAINT PAUL, MN 55104-2891
(651) 340-6456
(651) 340-9827
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
01/15/2016
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