Provider Demographics
NPI:1467118661
Name:HEART TO HEART INC ALF
Entity Type:Organization
Organization Name:HEART TO HEART INC ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRYSTYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-683-0558
Mailing Address - Street 1:2201 N 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3321
Mailing Address - Country:US
Mailing Address - Phone:954-981-5862
Mailing Address - Fax:954-981-5862
Practice Address - Street 1:2201 N 55TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3321
Practice Address - Country:US
Practice Address - Phone:954-981-5862
Practice Address - Fax:954-981-5862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility