Organization Name: | HEAVENLY CARE STAFFING |
NPI Number: | 1396081709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELVIN EUGENE WHITE (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 6710 Windfield Gap Converse |
State: | TX US |
Postal Code: | 781093531 |
Phone Number: | 2108881976 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2012 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |