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Organization
HEALING HEARTZ AT HOME LLC
Active
Organization
HEALING HEARTZ AT HOME LLC
Active
Other names
Healing Heartz home care aide assistance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKISHA GAMBLE (OWNER)
(470) 654-3505
Entity
Organization
Contact information
Practice address
309 MATTHEWS AVE, CARROLLTON, GA 30117-3629
(470) 654-3505
Mailing address
309 MATTHEWS AVE, CARROLLTON, GA 30117-3629
(470) 654-3505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/20/2023
Last updated
09/22/2026
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