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
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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