Organization
TENDER HEARTS HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOLA MICHELLE FOWLER CO-OWNER (ADMINISTRATOR)
(706) 581-6822
Entity
Organization
Contact information
Practice address
734 RIDGE ST., CHATSWORTH, GA 30705-2728
(706) 517-3227
Mailing address
P.O. BOX 42, CHATSWORTH, GA 30705-2728
(706) 517-3227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
105-R-0677
GA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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