Provider Demographics
NPI:1619474798
Name:HEART 2 HANDS LIVING CARE LLC
Entity Type:Organization
Organization Name:HEART 2 HANDS LIVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-844-5504
Mailing Address - Street 1:24846 CALUSA BLVD
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736-7903
Mailing Address - Country:US
Mailing Address - Phone:407-844-5504
Mailing Address - Fax:
Practice Address - Street 1:24846 CALUSA BLVD
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32736-7903
Practice Address - Country:US
Practice Address - Phone:407-844-5504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health