Provider Demographics
NPI:1003233099
Name:HEAVEN & HEALTH, LLC
Entity type:Organization
Organization Name:HEAVEN & HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:LESLEY
Authorized Official - Last Name:BERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, RN
Authorized Official - Phone:302-999-9565
Mailing Address - Street 1:8 S DUPONT RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1445
Mailing Address - Country:US
Mailing Address - Phone:302-999-9565
Mailing Address - Fax:302-999-0025
Practice Address - Street 1:8 S DUPONT RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1445
Practice Address - Country:US
Practice Address - Phone:302-999-9565
Practice Address - Fax:302-999-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT0001682225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty