Provider Demographics
NPI:1558006833
Name:MO'S CARING HANDS
Entity Type:Organization
Organization Name:MO'S CARING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:608-420-5520
Mailing Address - Street 1:260 NOAHS ARC CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53536-2106
Mailing Address - Country:US
Mailing Address - Phone:608-420-5520
Mailing Address - Fax:
Practice Address - Street 1:260 NOAHS ARC CT
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53536-2106
Practice Address - Country:US
Practice Address - Phone:608-420-5520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health