Provider Demographics
NPI:1508919044
Name:HEAVEN SENT HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:HEAVEN SENT HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GREIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-943-3779
Mailing Address - Street 1:PO BOX 238
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:NC
Mailing Address - Zip Code:27860-0238
Mailing Address - Country:US
Mailing Address - Phone:252-943-3779
Mailing Address - Fax:252-943-3779
Practice Address - Street 1:26772 HWY 264 EAST
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:NC
Practice Address - Zip Code:27860-0238
Practice Address - Country:US
Practice Address - Phone:252-943-3779
Practice Address - Fax:252-943-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC007045251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5600COtherGROUP HOME