OrganizationActive
Heaven-On-Earth Network of Mamou, LLC
NPI 1184851453 · Adult Companion · Mamou, LA
Provider details
- NPI number
- 1184851453
- Entity type
- Organization
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Myron Guillory, Owner(434) 229-4962
- License
- 20161 (LA)
Specialties & taxonomies
Nursing Service Related Providers
Agencies
Agencies
- Chore Provider372500000X
Nursing Service Related Providers
- Attendant Care Provider3747A0650X
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Practice location
1321 4th Street
Mamou, LA 70554
Phone: (337) 468-2730
Fax: (337) 468-2782
Approximate (ZIP-level) locationGet directions
Mailing address
1321 4th Street
Mamou, LA 70554
Other names (DBA / former)
- Former legal business name
- Heaven-On-Earth Network, Inc.
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.