# MARTIN'S HEART;S 2 HEARTS INDEPENDENT CARE AGENCY

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

## Provider details

- **NPI number:** 1942572888
- **Authorized official:** MISS RESHANDA MARTIN PCT (OWNER)
- **Authorized official phone:** (678) 913-5216

## Contact information

- **Practice address:** 5366 STEEPLE CHASE, DOUGLASVILLE, GA 30135-1247
- **Practice address phone:** (678) 913-5216
- **Mailing address:** 6140 COOPER ST, DOUGLASVILLE, GA 30134-6925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | CN0028902990 | GA | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012
