Organization
SERVANT HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY WEICHHAND (CEO)
(404) 368-2435
Entity
Organization
Contact information
Practice address
626 CRUM CT, SIMPSONVILLE, KY 40067-5662
(404) 368-2435
Mailing address
626 CRUM CT, SIMPSONVILLE, KY 40067-5662
(404) 368-2435
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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