Heavenly Providers, LLC

NPI #1285092346 in Bridgeport, Connecticut

Provider Information

NPI Number: 1285092346
Entity Type: Organization
Organization Name: Heavenly Providers, LLC
Primary Specialty: Home Health
Enumeration Date: Feb 4, 2016
Last Updated: Feb 4, 2016

Practice Location

Address: 1071 WILLIAM ST
City: Bridgeport
State: Connecticut
ZIP Code: 06608
Phone: (203) 892-7291

Authorized Official

Name: MISS JESSICA VERONICA CARRION
Title: OWNER
Phone: (203) 892-7291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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