Organization
CHANGING HEARTS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYA D SMITH (OWNER)
(216) 338-8233
Entity
Organization
Contact information
Practice address
3024 COOPER WOODS LN, LOGANVILLE, GA 30052-8215
(216) 338-8233
Mailing address
3024 COOPER WOODS LN, LOGANVILLE, GA 30052-8215
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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