Organization
WILLOW HEART HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIKANTH PEMARAJ (OWNER/PRESIDENT)
(651) 335-8092
Entity
Organization
Contact information
Practice address
304 WHITCOMB HL, PEACHTREE CITY, GA 30269-1346
(651) 335-8092
Mailing address
304 WHITCOMB HL, PEACHTREE CITY, GA 30269-1346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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