Organization
BENEVOLENT HEARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JERMAINE CARK (OWNER/ADMINSTRATOR)
(229) 520-9141
Entity
Organization
Contact information
Practice address
2406 SPRING VALLEY CIR, VALDOSTA, GA 31602-2289
(229) 232-4244
Mailing address
PO BOX 4028, VALDOSTA, GA 31604-4028
(229) 520-9141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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