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General NPI Number Information
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NPI Number | 1265355473
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Entity Type | Organization
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Legal Business Name | HEARTFELT LIVING LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 185 7TH AVE NW
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City | CAIRO
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State | GA
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Zip | 39828-2072
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Country | US
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Telephone | 229-264-7980
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Fax | 229-264-7980
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Provider Business Mailing Address
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Address Line | 185 7TH AVE NW
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City | CAIRO
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State | GA
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Zip | 39828-2072
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Country | US
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Telephone | 229-264-7980
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Fax | 229-264-7980
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Authorized Official
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Title or Position | CEO
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Name | QUATERRIOUS WALDEN
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Credential |
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Telephone | 229-264-7980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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