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NPI Code Detail

MEDICARE: HEAL & HOPE AGENCY LLC

MEDICARE: HEAL & HOPE AGENCY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1417888629
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAL & HOPE AGENCY LLC
Provider Business Mailing Address
First Line : 1722 PRESERVE CREEK WAY
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-8797
Country : US
Telephone Number : 678-396-1062
Fax Number :
Provider Business Practice Location Address
First Line : 1722 PRESERVE CREEK WAY
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-8797
Country : US
Telephone Number : 678-396-1062
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. CARLA BEARD
Credential :
Telephone Number : 678-396-1062
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “HEAL & HOPE AGENCY LLC ” Practice Location

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