Provider Demographics
NPI:1154141042
Name:ALL HEART ADVANCED HEALING, PLLC
Entity type:Organization
Organization Name:ALL HEART ADVANCED HEALING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:615-723-2828
Mailing Address - Street 1:1833 WARD DR STE 101A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0558
Mailing Address - Country:US
Mailing Address - Phone:615-728-2828
Mailing Address - Fax:
Practice Address - Street 1:1833 WARD DR STE 101A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0558
Practice Address - Country:US
Practice Address - Phone:615-728-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No253Z00000XAgenciesIn Home Supportive Care