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Organization

FROM THE HEART GENERATIONAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBREIA MICHELLE GRIMES (CEO)
(478) 278-6908
Entity
Organization

Contact information

Practice address
957 MAIN ST STE A, #395, STONE MOUNTAIN, GA 30083
(800) 237-0836
Mailing address
957 MAIN ST, STE A #395, STONE MOUNTAIN, GA 30083
(800) 237-0836

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
10/21/2024
Last updated
10/21/2024
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