NPI 1194297838
Heaven Care LLC
Practice location
- Address
- 2828 S Standage, Mesa, AZ 85202-8139
- Phone
- (480) 580-4062
- Fax
- (480) 839-4273
- Mailing address
- 3116 S Mill Ave STE 176, Tempe, AZ 85282-3675
Authorised official
- Name
- Wesley Young
- Title
- Owner
- Phone
- (480) 580-4062
Registered specialties (3)
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Attendant Care Provider
Respite Care
Registry record
- NPI
- 1194297838
- Entity type
- Organization
- NPI issued
- 19 Dec 2018
- Record last updated
- 17 Jan 2023
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.