Organization
OPEN HEARTS HEALTHCARE LLC
Active
Other names
open hearts healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE GRAHA (DIRECTOR)
(843) 939-0810
Entity
Organization
Contact information
Practice address
2006 N PINE ST, LUMBERTON, NC 28358-3936
(910) 370-0274
Mailing address
121 S ACLINE ST, LAKE CITY, SC 29560-2632
(843) 939-0810
(843) 699-9327
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852583645
—
SC
05
—
EX1975
—
SC
Enumeration date
02/02/2022
Last updated
10/13/2022
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