Organization · NPI-2

1st Serving Hearts Home Care Agency LLC

Homemaker · Wimauma, FL

NPI number1417665233
StatusActive
Last updated in NPPESJan 4, 2023

Details

NPI
1417665233
Entity type
Organization (NPI-2)
Legal business name
1st Serving Hearts Home Care Agency LLC
Organization subpart
No
Enumeration date
Nov 10, 2022
Certification date
Dec 15, 2022
Last updated
Jan 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

10635 Standing Stone Dr
Wimauma, FL 33598-6172

Phone 813-857-8545

Mailing address

10635 Standing Stone Dr
Wimauma, FL 33598-6172

Phone 813-857-8545

Authorized official

Henrina R Monger
Owner
8138578545

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