Provider Demographics
NPI:1093028482
Name:HANDS ON HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:HANDS ON HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:LOUVOIS
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-882-7686
Mailing Address - Street 1:1415 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-3237
Mailing Address - Country:US
Mailing Address - Phone:770-882-7686
Mailing Address - Fax:770-907-1375
Practice Address - Street 1:1415 WILLOW DR
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-3237
Practice Address - Country:US
Practice Address - Phone:770-882-7686
Practice Address - Fax:770-907-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-R-0662251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health