Organization · Type 2 NPI
Heavenly Medical Supply
Physical Disabilities Residential Treatment Facility · Bastrop, LA
NPI number
1447497425
Active
Practice location
6349 Estates Dr
Bastrop, LA 71220-9749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: 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.
Another provider at this address
About NPI 1447497425
Heavenly Medical Supply's National Provider Identifier is 1447497425, issued on Jan 13, 2009. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Bastrop, LA. The record was last updated on Jan 13, 2009.