Provider Demographics
NPI:1235264375
Name:SPECIAL HANDS INC
Entity Type:Organization
Organization Name:SPECIAL HANDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERAGENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-704-4764
Mailing Address - Street 1:9533 FLECHETTE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-7010
Mailing Address - Country:US
Mailing Address - Phone:904-704-4764
Mailing Address - Fax:904-766-8731
Practice Address - Street 1:9533 FLECHETTE AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-7010
Practice Address - Country:US
Practice Address - Phone:904-704-4764
Practice Address - Fax:904-766-8731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2289413747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty