Organization
HEART OF HEARTS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASANDRA LEE REGISTERED NURSE (CO-OWNER)
(678) 964-0275
Entity
Organization
Contact information
Practice address
3352 DEER HOLLOW TRL SW, CONYERS, GA 30094-3943
(404) 880-2266
Mailing address
3826 SALEM RD # 28, COVINGTON, GA 30016-4528
(404) 333-7528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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