Provider Demographics
NPI:1497526727
Name:ABOVE HEARTS & HANDS HEALTHCARE
Entity Type:Organization
Organization Name:ABOVE HEARTS & HANDS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE AIDE
Authorized Official - Prefix:
Authorized Official - First Name:TOMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIGAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-615-7529
Mailing Address - Street 1:2787 LEOLA HILL DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-8553
Mailing Address - Country:US
Mailing Address - Phone:843-615-7529
Mailing Address - Fax:
Practice Address - Street 1:2787 LEOLA HILL DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-8553
Practice Address - Country:US
Practice Address - Phone:843-615-7529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health