Heavenly Living LLC

NPI #1902416191 in South Chesterfield, Virginia

Provider Information

NPI Number
1902416191
Entity Type
Organization
Organization Name
Heavenly Living LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 3, 2020
Last Updated
Aug 3, 2020

Practice Location

Address
21101 DEODORA DR
ZIP Code
23803-2224
Phone
(804) 481-0313

Authorized Official

Name
MR. NOEL KANGA SR.
Title
EXECUTIVE DIRECTOR/OWNER
Phone
(804) 481-0313

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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