# BENEVOLENT HEARTS, LLC

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

## Provider details

- **NPI number:** 1477260842
- **Authorized official:** KEVIN JERMAINE CARK (OWNER/ADMINSTRATOR)
- **Authorized official phone:** (229) 520-9141

## Contact information

- **Practice address:** 2406 SPRING VALLEY CIR, VALDOSTA, GA 31602-2289
- **Practice address phone:** (229) 232-4244
- **Mailing address:** PO BOX 4028, VALDOSTA, GA 31604-4028
- **Mailing address phone:** (229) 520-9141

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/03/2022