Organization
HEART TO HEART FAMILY CARE HOME
Active
Other names
Supportiv Hearts
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DAVIS (OWNER/ADMINISTRATOR)
(252) 915-6654
Entity
Organization
Contact information
Practice address
131 HUNTINGTON RD, LOUISBURG, NC 27549-7435
(252) 915-6654
Mailing address
502 FORD CIR, LOUISBURG, NC 27549-2230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL035033
—
NC
Enumeration date
04/08/2020
Last updated
05/05/2023
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