Organization Name: | HEAVENLY HEALTHCARE AGENCY, INC. |
NPI Number: | 1326138397 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTOINETTA D FULTON (OWNER) |
Mailing Address: | 503 W Mcgee St Greensboro |
State: | NC US |
Postal Code: | 274012702 |
Phone Number: | 3362300808 |
Fax Number: | 3362300842 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | HC2337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |