Provider Demographics
NPI:1376115097
Name:PRAYING HANDS HOME CARE
Entity Type:Organization
Organization Name:PRAYING HANDS HOME CARE
Other - Org Name:PRAYING HANDS HOME CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-999-8048
Mailing Address - Street 1:26 OFFICE PARK CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5954
Mailing Address - Country:US
Mailing Address - Phone:803-667-9563
Mailing Address - Fax:
Practice Address - Street 1:26 OFFICE PARK CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5954
Practice Address - Country:US
Practice Address - Phone:803-667-9563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty