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NPI Code Detail

MEDICARE: HEAVEN SENT HOME HEALTH CARE

MEDICARE: HEAVEN SENT HOME HEALTH CARE
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 Agency251E00000XAL

General Provider Information

NPI Number : 1821278763
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAVEN SENT HOME HEALTH CARE
Provider Business Mailing Address
First Line : 1 PERIMETER PARK S STE 100N
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3248
Country : US
Telephone Number : 205-970-6162
Fax Number : 205-970-6238
Provider Business Practice Location Address
First Line : 1 PERIMETER PARK S STE 100N
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3248
Country : US
Telephone Number : 205-970-6162
Fax Number : 205-970-6238
Authorized Official
Title or Position : PRESIDENT
Name : MRS. CRYSTAL LACRESSIA KING
Credential : NURSING ASS.
Telephone Number : 205-970-6162
Provider Enumeration Date : 11/08/2007
Last Update Date : 11/08/2007

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Directions to “HEAVEN SENT HOME HEALTH CARE ” Practice Location

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