HEAVEN CARE LLC NPI 1194297838

NPI Information

HEAVEN CARE LLC is a respite care and mental retardation and/or developmental disabilities respite care in Mesa, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. HEAVEN CARE LLC NPI is 1194297838. The provider is registered as an organization entity type.

The provider's business location address is:

2828 S STANDAGE
MESA, AZ
ZIP 85202-139
Phone: (480) 580-4062
Fax: (480) 839-4273

The provider's authorized official is Wesley Young .
The authorized official title is Owner and has the following contact phone number (480) 580-4062.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 12/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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