Organization
HEART TO HEART PROVISION HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINITY C BROWN RN (CLINICAL DIRECTOR)
(601) 695-2452
Entity
Organization
Contact information
Practice address
1132 E BROAD ST, MONTICELLO, MS 39654-7681
(601) 695-2452
Mailing address
1132 E BROAD ST, MONTICELLO, MS 39654-7681
(601) 695-2452
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/08/2022
Last updated
04/20/2022
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