Provider Demographics
NPI:1609401355
Name:HEART TO HEART OF TUCKER LLLP
Entity Type:Organization
Organization Name:HEART TO HEART OF TUCKER LLLP
Other - Org Name:HEART TO HEART TUCKER LLLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANTZ
Authorized Official - Middle Name:
Authorized Official - Last Name:EXCELLENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-207-5005
Mailing Address - Street 1:211 THREE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6478
Mailing Address - Country:US
Mailing Address - Phone:917-207-5005
Mailing Address - Fax:
Practice Address - Street 1:4378 SENTRY DR
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:917-207-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport