# GIFTED HEART SERVICES, LLC

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

## Provider details

- **NPI number:** 1619094638
- **Authorized official:** SUSIE POLEDOR (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (337) 394-1799

## Contact information

- **Practice address:** 717 N MAIN ST, SAINT MARTINVILLE, LA 70582-4124
- **Practice address phone:** (337) 394-1799
- **Practice address fax:** (337) 394-1799
- **Mailing address:** 717 N MAIN ST, SAINT MARTINVILLE, LA 70582-4124
- **Mailing address phone:** (337) 394-1799
- **Mailing address fax:** (337) 394-1799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 11451 | LA | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 07/27/2007