Provider Demographics
NPI:1619148426
Name:LAKESHIA KIJUAN EALY
Entity Type:Organization
Organization Name:LAKESHIA KIJUAN EALY
Other - Org Name:GENTLE HANDS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:KIJUAN
Authorized Official - Last Name:EALY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-440-6561
Mailing Address - Street 1:9304 FOREST LN
Mailing Address - Street 2:STE S244
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:214-440-6561
Mailing Address - Fax:214-342-2601
Practice Address - Street 1:9304 FOREST LN
Practice Address - Street 2:STE S244
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-440-6561
Practice Address - Fax:214-342-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747499Medicare Oscar/Certification