Organization
HAWKIN HEART IN-HOMECARES 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESSERITA RENEE DYSON (OWNER)
(229) 614-1667
Entity
Organization
Contact information
Practice address
1235 CASSIDY RD, THOMASVILLE, GA 31792-3526
(229) 233-5105
(229) 233-6130
Mailing address
PO BOX 2911, THOMASVILLE, GA 31799-2911
(229) 614-1667
(229) 233-6130
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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