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NPI Code Detail

MEDICARE: ALMOST HEAVEN IN HOME CARE LLC

MEDICARE: ALMOST HEAVEN IN HOME CARE LLC
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
1251E00000XHome Health Agency22333708WV

General Provider Information

NPI Number : 1003130741
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALMOST HEAVEN IN HOME CARE LLC
Provider Business Mailing Address
First Line : 3744 TEAYS VALLEY RD
Second Line : SUITE 209
City : HURRICANE
State : WV
Zip : 25526-8755
Country : US
Telephone Number : 304-757-6537
Fax Number : 304-757-6538
Provider Business Practice Location Address
First Line : 3744 TEAYS VALLEY RD
Second Line : SUITE 209
City : HURRICANE
State : WV
Zip : 25526-8755
Country : US
Telephone Number : 304-757-6537
Fax Number : 304-757-6538
Authorized Official
Title or Position : OWNER
Name : PATRICIA LYNN PROCTOR
Credential :
Telephone Number : 304-757-6537
Provider Enumeration Date : 03/24/2010
Last Update Date : 03/24/2010

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Directions to “ALMOST HEAVEN IN HOME CARE LLC ” Practice Location

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