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Organization

HEART WORK HOMES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONECIA BAILEY (CHIEF OPERATING OFFICER, COO)
(850) 687-7908
Entity
Organization

Contact information

Practice address
38 CARSON DR SE, FORT WALTON BEACH, FL 32548-5496
(850) 687-7908
Mailing address
38 CARSON DR SE, FORT WALTON BEACH, FL 32548-5496

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/04/2018
Last updated
03/04/2018
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