Provider Demographics
NPI:1407088677
Name:HEARTS AND HANDS FAMILY SERVICES
Entity Type:Organization
Organization Name:HEARTS AND HANDS FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:FOUNTAINE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:804-231-4570
Mailing Address - Street 1:5619 LIPTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-6025
Mailing Address - Country:US
Mailing Address - Phone:804-231-4570
Mailing Address - Fax:804-323-6407
Practice Address - Street 1:5619 LIPTON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-6025
Practice Address - Country:US
Practice Address - Phone:804-231-4570
Practice Address - Fax:804-323-6407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT64209993347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle