Provider Demographics
NPI:1578066445
Name:KEYS 2 HEALING HEARTS LLC
Entity Type:Organization
Organization Name:KEYS 2 HEALING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEAUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-747-3423
Mailing Address - Street 1:2710 HULLSMITH DR APT 1403
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4644
Mailing Address - Country:US
Mailing Address - Phone:248-747-3423
Mailing Address - Fax:
Practice Address - Street 1:2710 HULLSMITH DR APT 1403
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4644
Practice Address - Country:US
Practice Address - Phone:248-747-3423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities