Organization
HEART2 HEART HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JEAN JOHNSON CEO (ADM.)
(404) 763-4114
Entity
Organization
Contact information
Practice address
1750 LYLE AVE, COLLEGE PARK, GA 30337-1203
(404) 763-4114
(404) 763-4115
Mailing address
1750 LYLE AVE, COLLEGE PARK, GA 30337-1203
(404) 763-4114
(404) 763-4115
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
031R0021
GA
Other
Enumeration date
06/27/2007
Last updated
01/30/2012
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