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Organization
OPEN HEARTS HEALTHCARE LLC
Active
Organization
OPEN HEARTS HEALTHCARE LLC
Active
Other names
open hearts healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE GRAHA (DIRECTOR)
(843) 939-0810
Entity
Organization
Contact information
Practice address
2006 N PINE ST, LUMBERTON, NC 28358-3936
(910) 370-0274
Mailing address
121 S ACLINE ST, LAKE CITY, SC 29560-2632
(843) 939-0810
(843) 699-9327
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852583645
—
SC
05
—
EX1975
—
SC
Enumeration date
02/02/2022
Last updated
10/13/2022
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