| Name: | Heaven's Haven Living Facility LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Mar 2020 (5 years ago) |
| Entity Number: | 000-624-993 |
| Register Number: | 000624993 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Mailing Address: | 1630 PRAIRIE AVEMOBILE, AL 36605 |
| Registered Office Mailing Address ZIP Code: | 36605 |
| Registered Office Street Address: | 2052 ROBINSON DRMOBILE, AL 36605 |
| Registered Office Street Address ZIP Code: | 36605 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730704487 | 2020-06-09 | 2021-11-01 | 6300 GRELOT RD # STG1235, MOBILE, AL, 366093602, US | 6300 GRELOT RD # STG1235, MOBILE, AL, 366093602, US | |||||||||||||
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| Phone | +1 251-509-8641 |
Authorized person
| Name | CIELITA EZELL |
| Role | PROVIDER |
| Phone | 2515098641 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EZELL, CIELITA N | Agent | 2052 ROBINSON DRMOBILE, AL 36605 |
| Name | Role | Address |
|---|---|---|
| EZELL, CIELITA N | Organizer | 2052 ROBINSON DRMOBILE, AL 36605 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
