Organization
HEAVENLY HEARTS HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA S LEE (OWNER/OPERATOR)
(863) 825-5179
Entity
Organization
Contact information
Practice address
3567 MANOR LOOP, LAKELAND, FL 33810-1382
(863) 825-5179
Mailing address
PO BOX 91543, LAKELAND, FL 33804-1543
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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