# SOUTHERN HEARTS HOMECARE OF GEORGIA INC

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

## Provider details

- **NPI number:** 1104390095
- **Authorized official:** NIKYA SMITH (INCORPORATOR)
- **Authorized official phone:** (478) 787-2410

## Contact information

- **Practice address:** 200 JASMINE WAY, BONAIRE, GA 31005-3512
- **Practice address phone:** (478) 787-2410
- **Mailing address:** 200 JASMINE WAY, BONAIRE, GA 31005-3512
- **Mailing address phone:** (478) 787-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2019
- **Last updated:** 02/04/2019