Provider Demographics
NPI:1346553096
Name:MCCOY'S HELPING HANDS
Entity Type:Organization
Organization Name:MCCOY'S HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-287-3908
Mailing Address - Street 1:PO BOX 465
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-0465
Mailing Address - Country:US
Mailing Address - Phone:707-287-3908
Mailing Address - Fax:707-933-4446
Practice Address - Street 1:837 LORNA DR
Practice Address - Street 2:
Practice Address - City:GLEN ELLEN
Practice Address - State:CA
Practice Address - Zip Code:95442-9647
Practice Address - Country:US
Practice Address - Phone:707-287-3908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care