Provider Demographics
NPI:1083314330
Name:NIKKI'S HELPING HAND SUPPORT SERVICES
Entity Type:Organization
Organization Name:NIKKI'S HELPING HAND SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-438-5192
Mailing Address - Street 1:1248 EDGEWOOD AVE W # 3
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2768
Mailing Address - Country:US
Mailing Address - Phone:904-438-5192
Mailing Address - Fax:904-538-2223
Practice Address - Street 1:1248 EDGEWOOD AVE W # 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2768
Practice Address - Country:US
Practice Address - Phone:904-438-5192
Practice Address - Fax:904-538-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty