Healthcare Provider Details

I. General information

NPI: 1609420405
Provider Name (Legal Business Name): HEART, HEALTH & HEALING, MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 BROADWAY
WEST PALM BEACH FL
33407-4844
US

IV. Provider business mailing address

PO BOX 8276
WEST PALM BEACH FL
33407-0276
US

V. Phone/Fax

Practice location:
  • Phone: 561-766-1769
  • Fax:
Mailing address:
  • Phone: 561-766-1769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE HILL
Title or Position: OWNER
Credential:
Phone: 561-255-7711