Organization
MARTIN'S HEART;S 2 HEARTS INDEPENDENT CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RESHANDA MARTIN PCT (OWNER)
(678) 913-5216
Entity
Organization
Contact information
Practice address
5366 STEEPLE CHASE, DOUGLASVILLE, GA 30135-1247
(678) 913-5216
Mailing address
6140 COOPER ST, DOUGLASVILLE, GA 30134-6925
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CN0028902990
GA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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