# SACRED HEART HOME LLLP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SACRED HEART TRANSPORTATION LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659792422
- **Legal business name:** SACRED HEART TRANSPORTATION LLC
- **Authorized official:** MS. MARIE DACHA PROSPER (DIRECTOR)
- **Authorized official phone:** (678) 561-0379

## Contact information

- **Practice address:** 501 RUGBY CT, PALMETTO, GA 30268-8645
- **Practice address phone:** (678) 561-0379
- **Mailing address:** 501 RUGBY CT, PALMETTO, GA 30268-8645
- **Mailing address phone:** (678) 561-0379
- **Mailing address fax:** (877) 230-4123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2013
- **Last updated:** 12/22/2013
