Heavenly Medical Supply

NPI #1447497425 in Bastrop, Louisiana

Provider Information

NPI Number
1447497425
Entity Type
Organization
Organization Name
Heavenly Medical Supply
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Jan 13, 2009
Last Updated
Jan 13, 2009

Practice Location

Address
6349 ESTATES DR
ZIP Code
71220-9749
Phone
(318) 283-1210

Authorized Official

Name
CLAUDIA DENICE HARRIS
Title
MEDICAL SUPPLIER
Phone
(318) 283-1210

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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