HEAVENLY MEDICAL SUPPLY NPI 1447497425

NPI Information

HEAVENLY MEDICAL SUPPLY is a residential treatment facility physical disabilities in Bastrop, LA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. HEAVENLY MEDICAL SUPPLY NPI is 1447497425. The provider is registered as an organization entity type.

The provider's business location address is:

6349 ESTATES DR
BASTROP, LA
ZIP 71220-749
Phone: (318) 283-1210

The provider's authorized official is Claudia Denice Harris .
The authorized official title is Medical Supplier and has the following contact phone number (318) 283-1210.

The enumeration date for this NPI number is 1/13/2009 and was last updated on 1/13/2009.

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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