Provider Demographics
NPI:1033349907
Name:A LIL BIT OF HEAVEN PRIVATE HOME CARE
Entity Type:Organization
Organization Name:A LIL BIT OF HEAVEN PRIVATE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNE
Authorized Official - Prefix:
Authorized Official - First Name:MARVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSKINS WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-834-7482
Mailing Address - Street 1:4130 MICHAEL PL
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-5937
Mailing Address - Country:US
Mailing Address - Phone:706-834-7482
Mailing Address - Fax:
Practice Address - Street 1:4130 MICHAEL PL
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-5937
Practice Address - Country:US
Practice Address - Phone:706-834-7482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health