Heavenly Arms Llc

NPI 1437246345

Information of Heavenly Arms Llc

The NPI 1437246345 is an Organization type. NPI No 1437246345 belongs to Heavenly Arms Llc. Heavenly Arms Llc specializes in Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. is practising at 2470 Emerald Pl, Greenville, North Carolina 27834. You can also contact him via phone number (252) 752-3211.

Practice address located

  • 2470 Emerald Pl
  • Greenville, North Carolina 27834
  • (252) 752-3211
  • (252) 752-3211

Mailling address located

  • 2470 Emerald Pl
  • Greenville, North Carolina 27834
  • (252) 752-3211
  • (252) 752-3211
NPI No 1437246345
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No320600000XResidential Treatment Facility, Mental Retardation and/or Developmental DisabilitiesMHL-074-16North Carolina
Yes320800000XCommunity Based Residential Treatment Facility, Mental Illness88301613BNorth Carolina
Identifier for this provider
StateIdentifierTypeIssuer
NC8301613GMedicaidn/a
NC8601613BMedicaidn/a
NCMHL-074-164OtherDFS LICENSE NUMBER
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