NPI 1003346263
Heavenly Senior Care LLC
Practice location
- Address
- 115 SW 9th Ter APT 303, Ft Lauderdale, FL 33312-1744
- Phone
- (954) 281-6815
Authorised official
- Name
- Harry Polycarpe
- Title
- Administrator
- Phone
- (954) 281-6815
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003346263
- Entity type
- Organization
- NPI issued
- 19 Jun 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.