Provider Demographics
NPI:1417511148
Name:ANNOINTED HANDS LLC
Entity Type:Organization
Organization Name:ANNOINTED HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-324-6507
Mailing Address - Street 1:PO BOX 3123
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-3123
Mailing Address - Country:US
Mailing Address - Phone:804-324-6507
Mailing Address - Fax:804-352-5364
Practice Address - Street 1:3808 ROBERT E LEE DR
Practice Address - Street 2:
Practice Address - City:NORTH PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23860-7522
Practice Address - Country:US
Practice Address - Phone:804-324-6507
Practice Address - Fax:804-352-5364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities