| NPI | 1780846568 |
|---|---|
| Doing Business As | HEART TO HEART PROVIDER |
| Entity Type | Organization |
| Authorized Contact | LATOSHA RIDER Coordinator 469-684-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 172A00000X Driver | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-05-15 |