Provider Demographics
NPI:1093161291
Name:HEAVENLY HANDS ADULT DAY CENTER
Entity Type:Organization
Organization Name:HEAVENLY HANDS ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BLOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-337-3640
Mailing Address - Street 1:8001 MIDCROWN DR STE 104&106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-2316
Mailing Address - Country:US
Mailing Address - Phone:210-337-3640
Mailing Address - Fax:210-337-5617
Practice Address - Street 1:8001 MIDCROWN DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-2317
Practice Address - Country:US
Practice Address - Phone:210-337-3640
Practice Address - Fax:210-337-5617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145445261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care