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Organization
HEARTS & HANDS CLA, LLC
Active
Organization
HEARTS & HANDS CLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANADA DOZIER YORK MBA (OWNER)
(843) 372-0745
Entity
Organization
Contact information
Practice address
1382 FULTON AVE, KINGSTREE, SC 29556-2218
(843) 372-0745
Mailing address
8402 ROSWELL RD, APT C, ATLANTA, GA 30350-7826
(843) 372-0745
(404) 393-3821
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057875607
DRIVER'S LICENSE
GA
01
—
IHCP0528
DHEC PERMIT
SC
Enumeration date
04/22/2016
Last updated
05/05/2016
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