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NPI Code Detail

MEDICARE: HEAVEN SENT SERVICES

MEDICARE: HEAVEN SENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1316504459
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAVEN SENT SERVICES
Provider Business Mailing Address
First Line : 6262 HEATHER CREEK PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-3650
Country : US
Telephone Number : 702-689-6354
Fax Number :
Provider Business Practice Location Address
First Line : 6262 HEATHER CREEK PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-3650
Country : US
Telephone Number : 702-689-6354
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ROSEMARY WILLIAMS
Credential :
Telephone Number : 702-689-6354
Provider Enumeration Date : 05/23/2019
Last Update Date : 05/23/2019

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Directions to “HEAVEN SENT SERVICES ” Practice Location

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