Provider Demographics
NPI:1710445101
Name:MAYA'S HANDS LLC
Entity Type:Organization
Organization Name:MAYA'S HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:CLEASHAY
Authorized Official - Last Name:OUTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-440-2808
Mailing Address - Street 1:3316 KATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-6519
Mailing Address - Country:US
Mailing Address - Phone:239-440-2808
Mailing Address - Fax:
Practice Address - Street 1:3316 KATHERINE ST
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-6519
Practice Address - Country:US
Practice Address - Phone:239-440-2808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care