Provider Demographics
NPI:1417480112
Name:MAGRIN GIFTED HANDS SERVICES, LLC
Entity Type:Organization
Organization Name:MAGRIN GIFTED HANDS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:K
Authorized Official - Last Name:LIMO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:817-319-3006
Mailing Address - Street 1:11805 INDIAN PONY WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5298
Mailing Address - Country:US
Mailing Address - Phone:817-319-3006
Mailing Address - Fax:
Practice Address - Street 1:11805 INDIAN PONY WAY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5298
Practice Address - Country:US
Practice Address - Phone:817-319-3006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health