Provider Demographics
NPI:1306697099
Name:LEVONIA HILL HEIGHT PRIVATE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:LEVONIA HILL HEIGHT PRIVATE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVONIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-213-3483
Mailing Address - Street 1:208 ATHENS ST
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5158
Mailing Address - Country:US
Mailing Address - Phone:478-213-3483
Mailing Address - Fax:
Practice Address - Street 1:208 ATHENS ST
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5158
Practice Address - Country:US
Practice Address - Phone:478-213-3483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health