Provider Demographics
NPI:1811743206
Name:HOLY HEIGHTS LLC
Entity type:Organization
Organization Name:HOLY HEIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUILLAUME
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-320-9988
Mailing Address - Street 1:2655 ROTHCHILD PL APT 106
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9367
Mailing Address - Country:US
Mailing Address - Phone:682-352-1917
Mailing Address - Fax:
Practice Address - Street 1:2655 ROTHCHILD PL APT 106
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-9367
Practice Address - Country:US
Practice Address - Phone:682-352-1917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities