SHIRLEY WILSON HEAVENLY HEALTHCARE NPI 1548904063

NPI Information

SHIRLEY WILSON HEAVENLY HEALTHCARE is a home health aide in Jacksonville, FL. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. SHIRLEY WILSON HEAVENLY HEALTHCARE NPI is 1548904063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5105 BENNING RD
JACKSONVILLE, FL
ZIP 32254-610
Phone: (904) 667-7962
Fax: (904) 580-5805

The provider's authorized official is Shirley Crawford Wilson .
The authorized official title is Owner and has the following contact phone number (904) 487-3949.

The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.