Provider Demographics
NPI:1417116088
Name:HEAVEN'S HANDS RESCUE, INC.
Entity Type:Organization
Organization Name:HEAVEN'S HANDS RESCUE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CANNIE
Authorized Official - Middle Name:JENEAN
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-444-9355
Mailing Address - Street 1:2230 LOMA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-0363
Mailing Address - Country:US
Mailing Address - Phone:916-444-9355
Mailing Address - Fax:
Practice Address - Street 1:2230 LOMA VISTA DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0363
Practice Address - Country:US
Practice Address - Phone:916-444-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22774333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy