Provider Demographics
NPI:1619168895
Name:GIFTED HANDS INC
Entity Type:Organization
Organization Name:GIFTED HANDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-701-5100
Mailing Address - Street 1:5187 SPANISH OAKS LN
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-7680
Mailing Address - Country:US
Mailing Address - Phone:863-868-9029
Mailing Address - Fax:863-868-9029
Practice Address - Street 1:5187 SPANISH OAKS LN
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-7680
Practice Address - Country:US
Practice Address - Phone:863-868-9029
Practice Address - Fax:863-868-9029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness