Provider Demographics
NPI:1669848206
Name:HANDS OF MERCY LLC
Entity Type:Organization
Organization Name:HANDS OF MERCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESSIE
Authorized Official - Middle Name:ARCHIE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-974-2889
Mailing Address - Street 1:8746 COLLINSTON ROAD
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220
Mailing Address - Country:US
Mailing Address - Phone:318-974-2889
Mailing Address - Fax:318-974-3175
Practice Address - Street 1:8746 COLLINSTON ROAD
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220
Practice Address - Country:US
Practice Address - Phone:318-974-2889
Practice Address - Fax:318-974-3175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDS OF MERCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZHK494343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)