Organization
SACRED HEART HOME LLLP
Active
Parent organization
SACRED HEART TRANSPORTATION LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HEART TRANSPORTATION LLC
Authorized official
MS. MARIE DACHA PROSPER (DIRECTOR)
(678) 561-0379
Entity
Organization
Contact information
Practice address
501 RUGBY CT, PALMETTO, GA 30268-8645
(678) 561-0379
Mailing address
501 RUGBY CT, PALMETTO, GA 30268-8645
(678) 561-0379
(877) 230-4123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132108A
—
GA
Enumeration date
12/22/2013
Last updated
12/22/2013
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