Provider Demographics
NPI:1104179381
Name:S & J HELPING HANDS
Entity Type:Organization
Organization Name:S & J HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNELIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:951-698-4352
Mailing Address - Street 1:31901 BLANCA CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6288
Mailing Address - Country:US
Mailing Address - Phone:951-698-4352
Mailing Address - Fax:
Practice Address - Street 1:31901 BLANCA CT
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6288
Practice Address - Country:US
Practice Address - Phone:951-698-4352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health