Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X | |||
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI # | 1508410648 |
| LBN Legal business name | HEAVEN SENT ADULT DAYCARE CENTER |
| Authorized official | LYNN WALLS - (RN/ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/26/2019 |
| Last updated | 09/18/2020 - About 6 years ago |
| Identifiers | n/a |
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