Organization
LOVELY HEART SERVICE
Active
Other names
lovely heart service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEMISHA LATOYA MATHIS (OWER)
(850) 851-6261
Entity
Organization
Contact information
Practice address
2437 E 11TH ST, D-102, PANAMA CITY, FL 32401-4467
(850) 851-6261
Mailing address
2437 E 11TH ST, D-102, PANAMA CITY, FL 32401-4467
(850) 851-6261
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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