Organization
HEARTFELT PERSONAL CARE
Active
Other names
Heartfelt Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
DONNY TALIAFERRO (CEO)
(662) 582-7062
Entity
Organization
Contact information
Practice address
207 N HUNTINGTON ST BLDG C, KOSCIUSKO, MS 39090-3351
(662) 582-7062
Mailing address
207 N HUNTINGTON ST BLDG C, KOSCIUSKO, MS 39090-3351
(662) 582-7062
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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