# YOUNG AT HEART HEALTHCARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1477111565
- **Authorized official:** SHENKIA ISADORA JOHNSON LPN (CEO/ADMINISTRATOR)
- **Authorized official phone:** (229) 379-2906

## Contact information

- **Practice address:** 10 1ST AVE NE, CAIRO, GA 39828-2101
- **Practice address phone:** (888) 773-7868
- **Practice address fax:** (888) 773-7868
- **Mailing address:** PO BOX 1232, CAIRO, GA 39828-0996
- **Mailing address phone:** (888) 773-7868

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2019
- **Last updated:** 09/28/2020