Organization
HEART-N-SOUL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYLAND SMITH RN (OWNER/ADMINISTRATOR)
(229) 798-0170
Entity
Organization
Contact information
Practice address
705 2ND ST NW, MOULTRIE, GA 31768-3329
(229) 798-0170
Mailing address
PO BOX 2132, MOULTRIE, GA 31776-2132
(229) 798-0170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
09/01/2020
Last updated
09/04/2020
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