Provider Demographics
NPI:1770832669
Name:DGNM,LLC DBA HEART IN HAND
Entity Type:Organization
Organization Name:DGNM,LLC DBA HEART IN HAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MISCHAL
Authorized Official - Last Name:MCBEE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:817-992-2039
Mailing Address - Street 1:P.O. BOX 444
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086
Mailing Address - Country:US
Mailing Address - Phone:817-992-2039
Mailing Address - Fax:
Practice Address - Street 1:225 GREENWOOD CUT OFF RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76088
Practice Address - Country:US
Practice Address - Phone:817-992-2039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013688251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health