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Organization
HEART TO HEART FAMILY CARE HOME
Active
Organization
HEART TO HEART FAMILY CARE HOME
Active
Other names
Supportiv Hearts
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DAVIS (OWNER/ADMINISTRATOR)
(252) 915-6654
Entity
Organization
Contact information
Practice address
131 HUNTINGTON RD, LOUISBURG, NC 27549-7435
(252) 915-6654
Mailing address
502 FORD CIR, LOUISBURG, NC 27549-2230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL035033
—
NC
Enumeration date
04/08/2020
Last updated
05/05/2023
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