# VICARIOUS HEARTS, LLC

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

## Provider details

- **NPI number:** 1598264020
- **Authorized official:** MRS. SANDRA WHITERS (PRESIDENT)
- **Authorized official phone:** (478) 672-7494

## Contact information

- **Practice address:** 424 SOUTHLAND TRL, BYRON, GA 31008-6067
- **Practice address phone:** (833) 384-3278
- **Mailing address:** 424 SOUTHLAND TRL, BYRON, GA 31008-6067
- **Mailing address phone:** (833) 384-3278
- **Mailing address fax:** (478) 246-0929

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2018
- **Last updated:** 02/10/2018