Provider Demographics
NPI:1255482154
Name:HANDICAP SERVICES, INC
Entity Type:Organization
Organization Name:HANDICAP SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LULL
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-226-0935
Mailing Address - Street 1:1820 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-3639
Mailing Address - Country:US
Mailing Address - Phone:318-226-0935
Mailing Address - Fax:318-227-2504
Practice Address - Street 1:1820 KINGS HWY
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3639
Practice Address - Country:US
Practice Address - Phone:318-226-0935
Practice Address - Fax:318-227-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1662437Medicaid
LA0217190001Medicare ID - Type Unspecified