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Organization
HEART TO HEART PCS AGENCY
Active
Organization
HEART TO HEART PCS AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE A KENNEDY (PRESIDENT/CEO)
(901) 756-5918
Entity
Organization
Contact information
Practice address
6814 CRUMPLER BLVD # 201-D, OLIVE BRANCH, MS 38654-1905
(662) 932-2147
(662) 932-2148
Mailing address
6814 CRUMPLER BLVD # 201-D, OLIVE BRANCH, MS 38654-1905
(662) 932-2147
(662) 932-2148
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25100000X
MS
Other
Enumeration date
12/17/2015
Last updated
01/29/2016
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