Provider Demographics
NPI:1003502980
Name:BLESSED HANDS SITTER SERVICE
Entity Type:Organization
Organization Name:BLESSED HANDS SITTER SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHONDA
Authorized Official - Middle Name:LATREESE
Authorized Official - Last Name:MUSGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED
Authorized Official - Phone:318-218-5882
Mailing Address - Street 1:2213 CORBITT ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71108-2923
Mailing Address - Country:US
Mailing Address - Phone:318-218-5882
Mailing Address - Fax:
Practice Address - Street 1:2213 CORBITT ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-2923
Practice Address - Country:US
Practice Address - Phone:318-218-5882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care