Heavenly Angels Community Living, Inc.
NPI #1891519872 in Okolona, Mississippi
Provider Information
- NPI Number
- 1891519872
- Entity Type
- Organization
- Organization Name
- Heavenly Angels Community Living, Inc.
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Nov 14, 2024
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 704 W MAIN ST
- City
- Okolona
- State
- Mississippi
- ZIP Code
- 38860-1627
- Phone
- (662) 295-6514
Authorized Official
- Name
- MR. JEROME WALKER
- Title
- DIRECTOR
- Phone
- (662) 295-6514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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| Colissa Hall | |
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