Provider Demographics
NPI:1053458703
Name:CARING HANDS REHAB INC
Entity Type:Organization
Organization Name:CARING HANDS REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:VUNCANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-424-9500
Mailing Address - Street 1:503 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-8201
Mailing Address - Country:US
Mailing Address - Phone:662-424-9500
Mailing Address - Fax:662-424-9592
Practice Address - Street 1:503 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-8201
Practice Address - Country:US
Practice Address - Phone:662-424-9500
Practice Address - Fax:662-424-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08037880Medicaid