Organization
PURE HEARTS PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA HUGHES (OWNER)
(770) 882-3498
Entity
Organization
Contact information
Practice address
5404 MCEVER RD, OAKWOOD, GA 30566-3505
(770) 965-7000
Mailing address
5404 MCEVER RD, OAKWOOD, GA 30566-3505
(770) 965-7000
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCH008014
PCH PERMIT NO
GA
Enumeration date
06/14/2022
Last updated
06/14/2022
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