Provider Demographics
NPI:1285855916
Name:LIBERTY ASSEM DBAHEAVENLY HELPERS
Entity Type:Organization
Organization Name:LIBERTY ASSEM DBAHEAVENLY HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-539-5722
Mailing Address - Street 1:6779 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-1307
Mailing Address - Country:US
Mailing Address - Phone:330-539-8722
Mailing Address - Fax:
Practice Address - Street 1:6779 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-1307
Practice Address - Country:US
Practice Address - Phone:330-539-8722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable