Organization
HOME OF THE HEART,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FAYE COMMODORE (OWNER)
(769) 204-3699
Entity
Organization
Contact information
Practice address
210 N FRONT ST, MCCOMB, MS 39648-3916
(769) 217-8760
Mailing address
PO BOX 7070, MCCOMB, MS 39649-7070
(769) 204-3699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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