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Organization
PREFIX SUFFIX LLC
Active
Organization
PREFIX SUFFIX LLC
Active
Other names
HEART OF A SERVANT SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMIKA A HAMILTON (CEO)
(254) 702-5426
Entity
Organization
Contact information
Practice address
2419 S. BABCOCK ST, UNIT A, MELBOURNE, FL 32901-3290
(254) 702-5426
Mailing address
2419 S. BABCOCK ST, UNIT A, MELBOURNE, FL 32901
(254) 702-5426
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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