Provider Demographics
NPI:1821703661
Name:GRATEFUL HANDS SERVICES, INC.
Entity Type:Organization
Organization Name:GRATEFUL HANDS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ-MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:863-875-5403
Mailing Address - Street 1:1145 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3902
Mailing Address - Country:US
Mailing Address - Phone:863-875-5403
Mailing Address - Fax:863-268-8708
Practice Address - Street 1:1145 1ST ST S
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3902
Practice Address - Country:US
Practice Address - Phone:863-875-5403
Practice Address - Fax:863-268-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health