Provider Demographics
NPI:1003597840
Name:MICHAEL'S HELPING HANDS DEVELOPMENTAL GROUP
Entity Type:Organization
Organization Name:MICHAEL'S HELPING HANDS DEVELOPMENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:615-596-0070
Mailing Address - Street 1:6020 GLADSTONE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVALE
Mailing Address - State:TN
Mailing Address - Zip Code:37153-2103
Mailing Address - Country:US
Mailing Address - Phone:615-596-0070
Mailing Address - Fax:
Practice Address - Street 1:6020 GLADSTONE LN
Practice Address - Street 2:
Practice Address - City:ROCKVALE
Practice Address - State:TN
Practice Address - Zip Code:37153-2103
Practice Address - Country:US
Practice Address - Phone:615-596-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care