Provider Demographics
NPI:1295219061
Name:THE HANDS OF GRACE HEALTH CARE LLC
Entity Type:Organization
Organization Name:THE HANDS OF GRACE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:TINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-433-0400
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-0933
Mailing Address - Country:US
Mailing Address - Phone:803-433-0400
Mailing Address - Fax:
Practice Address - Street 1:214C W BOYCE ST
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-3005
Practice Address - Country:US
Practice Address - Phone:803-566-9783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health