Southern Hearts Homecare of Georgia INC

NPI #1104390095 in Bonaire, Georgia

Provider Information

NPI Number: 1104390095
Entity Type: Organization
Organization Name: Southern Hearts Homecare of Georgia INC
Primary Specialty: In Home Supportive Care
Enumeration Date: Jan 14, 2019
Last Updated: Feb 4, 2019

Practice Location

Address: 200 JASMINE WAY
City: Bonaire
State: Georgia
ZIP Code: 31005-3512
Phone: (478) 787-2410

Authorized Official

Name: NIKYA SMITH
Title: INCORPORATOR
Phone: (478) 787-2410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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