# MARY'S HEART HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093603169
- **Authorized official:** DR. LATOYA DARCEL THOMAS MSHRM, MBA, MAT,ED.D (OWNER ADMINISTRATOR)
- **Authorized official phone:** (678) 633-8185

## Contact information

- **Practice address:** 12461 VETERANS MEMORIAL HWY STE 302, DOUGLASVILLE, GA 30134-2025
- **Practice address phone:** (678) 633-8185
- **Mailing address:** 12461 VETERANS MEMORIAL HWY STE 302, DOUGLASVILLE, GA 30134-2025
- **Mailing address phone:** (678) 633-8185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 06/26/2025