Organization
ALL HEARTS HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEZZIE JETER (PRESIDENT/CEO/OWNER)
(864) 213-2146
Entity
Organization
Contact information
Practice address
1200 WOODRUFF RD, SUITE A3, GREENVILLE, SC 29607-5730
(864) 213-2146
(864) 297-2515
Mailing address
PO BOX 623, MAULDIN, SC 29662-0623
(864) 213-2146
(864) 297-2515
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1389
—
SC
Enumeration date
11/24/2014
Last updated
08/04/2015
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