Provider Demographics
NPI:1821719204
Name:HEALING HANDS PALLIATIVE HOSPICE INC
Entity Type:Organization
Organization Name:HEALING HANDS PALLIATIVE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FONABEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-407-8739
Mailing Address - Street 1:19859 BROKEN CACTUS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7232
Mailing Address - Country:US
Mailing Address - Phone:813-407-8739
Mailing Address - Fax:
Practice Address - Street 1:19859 BROKEN CACTUS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7232
Practice Address - Country:US
Practice Address - Phone:813-407-8739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based