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Organization

HEART TO HEART HOME CARE AGENCY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA D JOHNSON (DIRECTOR)
(910) 484-8080
Entity
Organization

Contact information

Practice address
2904 FORT BRAGG RD, FAYETTEVILLE, NC 28303-4725
(910) 484-8080
(910) 484-9080
Mailing address
6219 MILFORD RD, FAYETTEVILLE, NC 28303-2639
(910) 480-1132
(910) 484-9080

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC3222
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418081
NC
05
6601411
NC
05
8301793
NC
05
8301793B
NC
05
8301793G
NC
Enumeration date
12/04/2006
Last updated
12/10/2007
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