Organization
CHERISHED HEARTS PRIVATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TUVACHE D MOODY (CO-DIRECTOR)
(770) 719-9333
Entity
Organization
Contact information
Practice address
115 COMMERCE DR, STE H, FAYETTEVILLE, GA 30214-7335
(770) 719-9333
(770) 719-9334
Mailing address
115 COMMERCE DR, STE H, FAYETTEVILLE, GA 30214-7335
(770) 719-9333
(770) 719-9334
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060R0387
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100783A
—
GA
05
—
329498928A
—
GA
Enumeration date
09/22/2010
Last updated
01/02/2013
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