Organization
FOUR HEARTS
Active
Other names
Four Hearts Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWEL ELOIS MCDONALD (CEO)
(561) 876-1541
Entity
Organization
Contact information
Practice address
462 W 14TH ST, RIVIERA BEACH, FL 33404
(561) 876-1541
Mailing address
PO BOX 10452, RIVIERA BEACH, FL 33419-0452
(561) 876-1541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
234977
FL
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020574100
—
FL
Enumeration date
12/01/2017
Last updated
05/22/2018
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