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Organization
SERVANT'S HEART
Active
Organization
SERVANT'S HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA TANNER (DIRECTOR/QP)
(336) 314-1783
Entity
Organization
Contact information
Practice address
1921 NEW GARDEN RD APT C107, GREENSBORO, NC 27410-2381
(336) 282-5110
Mailing address
532 N REGIONAL RD STE E, GREENSBORO, NC 27409-9057
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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