Organization
HEARTS HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA M SMITH LPN (OWNER)
(863) 838-3853
Entity
Organization
Contact information
Practice address
2154 MONTICELLO AVE, LAKELAND, FL 33801-6040
(863) 838-3853
Mailing address
2154 MONTICELLO AVE, LAKELAND, FL 33801-6040
(863) 838-3853
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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