Organization
YOUNG AT HEART HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENKIA ISADORA JOHNSON LPN (CEO/ADMINISTRATOR)
(229) 379-2906
Entity
Organization
Contact information
Practice address
10 1ST AVE NE, CAIRO, GA 39828-2101
(888) 773-7868
(888) 773-7868
Mailing address
PO BOX 1232, CAIRO, GA 39828-0996
(888) 773-7868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
09/28/2020
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