Provider Demographics
NPI:1790358703
Name:HEALING HANDS SENIOR CARE LLC
Entity Type:Organization
Organization Name:HEALING HANDS SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-463-3452
Mailing Address - Street 1:3901 MICHAEL BLVD APT 1722
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1807
Mailing Address - Country:US
Mailing Address - Phone:251-463-3452
Mailing Address - Fax:
Practice Address - Street 1:3901 MICHAEL BLVD APT 1722
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1807
Practice Address - Country:US
Practice Address - Phone:251-463-3452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health