Organization
AT HEART HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FABIAN LLOYD WHITE JR. (OWNER)
(601) 493-4710
Entity
Organization
Contact information
Practice address
3487 HIGHWAY 65 APT 10, CLAYTON, LA 71326-9709
(601) 493-4710
Mailing address
3487 HIGHWAY 65 APT 10, CLAYTON, LA 71326-9709
(601) 493-4710
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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