Organization
FOUR HEARTS COMPANION SERVICES LLC
Active
Other names
Four Hearts Special Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWEL E MCDONALD (CEO/ PRESIDENT)
(561) 876-1541
Entity
Organization
Contact information
Practice address
462 W 14TH ST, RIVIERA BEACH, FL 33404-6810
(561) 876-1541
Mailing address
PO BOX 10452, RIVIERA BEACH, FL 33419-0452
(561) 876-1541
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019662800
—
FL
Enumeration date
10/21/2016
Last updated
04/27/2018
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