- Enrollment id
- O20091007000713
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437390739
- Multiple npi flag
- N
- Ccn
- 109617
- Associate id
- 7911043757
- Organization name
- HEAVENLY TOUCH HOME HEALTH CARE, CORP.
- Incorporation date
- 2009-02-10
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7212 NW 56TH ST
- City
- MIAMI
- State
- FL
- Zip code
- 331664202