Provider Demographics
NPI:1679286124
Name:SERVING HANDS LLC
Entity Type:Organization
Organization Name:SERVING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLAYEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOLO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:623-547-9429
Mailing Address - Street 1:1714 W LINCOLN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-3328
Mailing Address - Country:US
Mailing Address - Phone:602-675-0583
Mailing Address - Fax:
Practice Address - Street 1:1714 W LINCOLN ST STE 1B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-3328
Practice Address - Country:US
Practice Address - Phone:602-675-0583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health