Organization
GOOD HEARTS HOME HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA KIRKPATRICK (OWNER)
(901) 581-7606
Entity
Organization
Contact information
Practice address
4801 DERBY DR, SOUTHAVEN, MS 38671-5333
(901) 581-7606
Mailing address
4801 DERBY DR, SOUTHAVEN, MS 38671-5333
(901) 581-7606
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
MS
Enumeration date
12/06/2023
Last updated
05/25/2024
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