Organization
HEARTS OF HOPE & ASSOCITATE,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE T JONES (CEO /ADMINISTRATOR)
(478) 297-9541
Entity
Organization
Contact information
Practice address
524 S HOUSTON LAKE RD BLDG K, SUIT 300, WARNER ROBINS, GA 31088-9027
(478) 297-9541
Mailing address
524 S HOUSTON LAKE RD BLDG K, SUIT 300, WARNER ROBINS, GA 31088-9027
(478) 297-9541
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
076-R-0556
GA
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659547545
MEDICAID PROVIDER LICENSE#076-R-0556
GA
Enumeration date
05/01/2008
Last updated
08/10/2010
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