Provider Demographics
NPI:1033888169
Name:HEART TO HEART LLC
Entity Type:Organization
Organization Name:HEART TO HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:352-327-2955
Mailing Address - Street 1:1800 NW 4TH ST APT D37
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3683
Mailing Address - Country:US
Mailing Address - Phone:352-327-2955
Mailing Address - Fax:
Practice Address - Street 1:1800 NW 4TH ST APT D37
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3683
Practice Address - Country:US
Practice Address - Phone:352-642-9983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services