Provider Demographics
NPI:1437652906
Name:GIFT OF HANDS HOME HEALTHCARE SERVICES,LLC
Entity Type:Organization
Organization Name:GIFT OF HANDS HOME HEALTHCARE SERVICES,LLC
Other - Org Name:GIFT OF HANDS HOME HEALTCARE SERVICES,LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERSHINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-507-7234
Mailing Address - Street 1:1415 HONEYSUCKLE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-1922
Mailing Address - Country:US
Mailing Address - Phone:678-507-7234
Mailing Address - Fax:
Practice Address - Street 1:1415 HONEYSUCKLE RD STE 2
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-1922
Practice Address - Country:US
Practice Address - Phone:678-507-7234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health