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General NPI Number Information
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NPI Number | 1508553454
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Entity Type | Organization
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Legal Business Name | HEAVENLY HAND SERVICES, LLC
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 14062 HIGHWAY 16 W
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City | DE KALB
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State | MS
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Zip | 39328-7922
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Country | US
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Telephone | 601-894-1120
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Fax | 844-270-3071
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Provider Business Mailing Address
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Address Line | 16165 HIGHWAY 51
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City | HAZLEHURST
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State | MS
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Zip | 39083-2002
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Country | US
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Telephone | 601-894-1120
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Fax | 844-270-3071
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CAROL P NEWTON
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Credential | ED. S.
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Telephone | 601-894-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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