HEAVENLY PLACE LLC NPI 1356783229

NPI Information

HEAVENLY PLACE LLC is a residential treatment facility, intellectual and/or developmental disabilities in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEAVENLY PLACE LLC NPI is 1356783229. The provider is registered as an organization entity type.

The provider's business location address is:

8600 NEUSE HUNTER DR
RALEIGH, NC
ZIP 27616-735
Phone: (919) 819-3882

The provider's authorized official is Juliet Okwoshah .
The authorized official title is Administrator and has the following contact phone number (919) 819-3882.

The enumeration date for this NPI number is 7/21/2013 and was last updated on 7/21/2013.

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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