Organization · Type 2 NPI

Heavenly Assisted Living, Inc.

Assisted Living Facility · Port Orange, FL

NPI number 1407467806 Active

About NPI 1407467806

Heavenly Assisted Living, Inc.'s National Provider Identifier is 1407467806, issued on Aug 11, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 24, 2020.