Provider Demographics
NPI:1477231298
Name:HEAVENLY HANDS HOPE FOUNDATION
Entity Type:Organization
Organization Name:HEAVENLY HANDS HOPE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EALY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:469-779-2000
Mailing Address - Street 1:7602 GREAT TRINITY FOREST WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-6650
Mailing Address - Country:US
Mailing Address - Phone:469-779-2000
Mailing Address - Fax:877-441-1590
Practice Address - Street 1:7602 GREAT TRINITY FOREST WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-6650
Practice Address - Country:US
Practice Address - Phone:469-779-2000
Practice Address - Fax:877-441-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care