Provider Demographics
NPI:1578174553
Name:HEALING HANDS OF COMFORT, LLC
Entity Type:Organization
Organization Name:HEALING HANDS OF COMFORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELUNION
Authorized Official - Middle Name:JOSHUANA
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-658-0741
Mailing Address - Street 1:PO BOX 763
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39403-0763
Mailing Address - Country:US
Mailing Address - Phone:601-658-0741
Mailing Address - Fax:
Practice Address - Street 1:307 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-5108
Practice Address - Country:US
Practice Address - Phone:601-658-0741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health