Provider Demographics
NPI:1699008714
Name:GENTLE HANDS OF TIME
Entity Type:Organization
Organization Name:GENTLE HANDS OF TIME
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JOLENE
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-552-4043
Mailing Address - Street 1:200 3RD AVE NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:55008-1299
Mailing Address - Country:US
Mailing Address - Phone:763-552-4043
Mailing Address - Fax:763-689-6681
Practice Address - Street 1:200 3RD AVE NE
Practice Address - Street 2:SUITE 100
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008-1299
Practice Address - Country:US
Practice Address - Phone:763-552-4043
Practice Address - Fax:763-689-6681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care