Heaven's Cove I - Iv, LLC

NPI #1356498000 in Lithonia, Georgia

Provider Information

NPI Number: 1356498000
Entity Type: Organization
Organization Name: Heaven's Cove I - Iv, LLC
Primary Specialty: Home Health
Enumeration Date: Jan 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5280 WINSLOW XING N
City: Lithonia
State: Georgia
ZIP Code: 30038-1142
Phone: (678) 395-4423

Authorized Official

Name: ANDREA MOORE
Title: CEO
Phone: (516) 835-4109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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