Organization
LUCENT HEART HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SANDERS (OWNER)
(662) 822-1429
Entity
Organization
Contact information
Practice address
10067 PONDEROSA PL, VANCLEAVE, MS 39565-5168
(662) 822-1429
Mailing address
10067 PONDEROSA PL, VANCLEAVE, MS 39565-5168
(662) 822-1429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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