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Organization

OPEN HEART, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TORIE MOTTON (CEO/ OWNER)
(662) 609-3207
Entity
Organization

Contact information

Practice address
504 BYRD ST, GREENVILLE, MS 38701-5740
(662) 609-3207
Mailing address
504 BYRD ST, GREENVILLE, MS 38701-5740
(662) 609-3207

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
253Z00000X
In Home Supportive Care Agency
Primary
332U00000X
Home Delivered Meals
347C00000X
Private Vehicle
385H00000X
Respite Care

Other

Enumeration date
10/22/2021
Last updated
10/22/2021
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