Healthcare Provider Details
I. General information
NPI: 1821791229
Provider Name (Legal Business Name): HEARTS OF CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2023
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3114 AUGUSTA TECH DR STE 106
AUGUSTA GA
30906-3372
US
IV. Provider business mailing address
3114 AUGUSTA TECH DR STE 106
AUGUSTA GA
30906-3372
US
V. Phone/Fax
- Phone: 706-750-7608
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BETTY
JEAN
HAMILTON
Title or Position: CEO/ OWNER
Credential:
Phone: 706-750-7608