Provider Demographics
NPI:1376398743
Name:FULL HANDS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:FULL HANDS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-875-4223
Mailing Address - Street 1:2040 DOUGLAS DR N STE 104
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-3944
Mailing Address - Country:US
Mailing Address - Phone:612-875-4223
Mailing Address - Fax:
Practice Address - Street 1:2040 DOUGLAS DR N STE 104
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-3944
Practice Address - Country:US
Practice Address - Phone:612-875-4223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care