# CHERISHED HEARTS PRIVATE HOME CARE, LLC

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

## Provider details

- **NPI number:** 1851609077
- **Authorized official:** MS. TUVACHE D MOODY (CO-DIRECTOR)
- **Authorized official phone:** (770) 719-9333

## Contact information

- **Practice address:** 115 COMMERCE DR, STE H, FAYETTEVILLE, GA 30214-7335
- **Practice address phone:** (770) 719-9333
- **Practice address fax:** (770) 719-9334
- **Mailing address:** 115 COMMERCE DR, STE H, FAYETTEVILLE, GA 30214-7335
- **Mailing address phone:** (770) 719-9333
- **Mailing address fax:** (770) 719-9334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 060R0387 | GA | Yes |

## Other

- **Enumeration date:** 09/22/2010
- **Last updated:** 01/02/2013