Organization
PINK HEARTS HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA LASHELLE SHEPHERD (OWNER)
(404) 825-0770
Entity
Organization
Contact information
Practice address
214 N BECKMAN CT, DALLAS, GA 30132-0417
(404) 825-0770
Mailing address
214 N BECKMAN CT, DALLAS, GA 30132-0417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110-R-2029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T180003
PRIVATE HOME CARE PROVIDER
GA
Enumeration date
08/21/2018
Last updated
08/21/2018
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