Provider Demographics
NPI:1083338420
Name:DEVELOPING HANDS HOME CARE & MOBILE PHLEBOTOMY SERVICES
Entity Type:Organization
Organization Name:DEVELOPING HANDS HOME CARE & MOBILE PHLEBOTOMY SERVICES
Other - Org Name:DEVELOPING HANDS HOME CARE & MOBILE PHLEBOTOMY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-559-6310
Mailing Address - Street 1:6411 ORCHARD AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4712
Mailing Address - Country:US
Mailing Address - Phone:240-559-6310
Mailing Address - Fax:301-709-9980
Practice Address - Street 1:6411 ORCHARD AVE STE 207
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4712
Practice Address - Country:US
Practice Address - Phone:240-559-6310
Practice Address - Fax:301-709-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty