Provider Demographics
NPI:1689046823
Name:GUIDING HANDS AGENCY LLC
Entity Type:Organization
Organization Name:GUIDING HANDS AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:FONVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-594-7726
Mailing Address - Street 1:108 SEASIDE AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-7302
Mailing Address - Country:US
Mailing Address - Phone:609-892-2201
Mailing Address - Fax:609-927-7466
Practice Address - Street 1:108 SEASIDE AVE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-7302
Practice Address - Country:US
Practice Address - Phone:609-892-2201
Practice Address - Fax:609-927-7466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care