Heavenly Care LLC

NPI #1497320386 in Phoenix, Arizona

Provider Information

NPI Number: 1497320386
Entity Type: Organization
Organization Name: Heavenly Care LLC
Primary Specialty: Behavior Technician
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 3129 W ACAPULCO LN
City: Phoenix
State: Arizona
ZIP Code: 85053-4885
Phone: (601) 316-1347

Authorized Official

Name: KANOBAYITA DORIS
Title: DIRECTOR
Phone: (601) 316-1347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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