Provider Demographics
NPI:1639893563
Name:HAND AND HAND ADULT DAY HAB LLC
Entity Type:Organization
Organization Name:HAND AND HAND ADULT DAY HAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VONTIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDUFFEY-TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-279-4460
Mailing Address - Street 1:1478 HAGLEY RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-2256
Mailing Address - Country:US
Mailing Address - Phone:419-279-4460
Mailing Address - Fax:
Practice Address - Street 1:5660 SOUTHWYCK BLVD STE 108
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1597
Practice Address - Country:US
Practice Address - Phone:419-279-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service