Provider Demographics
NPI:1114376241
Name:HANDS4 HOME CARE
Entity Type:Organization
Organization Name:HANDS4 HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-361-3066
Mailing Address - Street 1:912 CHANNELSIDE DRIVE
Mailing Address - Street 2:STE 2519
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602
Mailing Address - Country:US
Mailing Address - Phone:813-361-3066
Mailing Address - Fax:813-915-6694
Practice Address - Street 1:912 CHANNELSIDE DR
Practice Address - Street 2:STE 2519
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4229
Practice Address - Country:US
Practice Address - Phone:813-361-3066
Practice Address - Fax:813-915-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL600085964251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health