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Organization

HEIRLOOM PRIVATE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMIRAH HEATH (ADMINISTRATOR)
(814) 499-4649
Entity
Organization

Contact information

Practice address
6430 TAHOE DR, COLLEGE PARK, GA 30349-4055
(814) 499-4649
Mailing address
6430 TAHOE DR, COLLEGE PARK, GA 30349-4055

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/13/2023
Last updated
09/13/2023
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