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Organization
LOVELY HEART SERVICE
Active
Organization
LOVELY HEART SERVICE
Active
Other names
kemisha mathis
Organization subpart
No
Provider details
NPI number
Authorized official
KEMISHA LATOYA MATHIS DOA (OWER)
(850) 851-6261
Entity
Organization
Contact information
Practice address
2805 EVELYN AVE APT 3A, PANAMA CITY, FL 32405-5861
(850) 851-6261
Mailing address
2805 EVELYN AVE APT 3A, PANAMA CITY, FL 32405-5861
(850) 851-6261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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