Provider Demographics
NPI:1821865684
Name:HER PRECIOUS HANDS
Entity Type:Organization
Organization Name:HER PRECIOUS HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TEEYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-422-7396
Mailing Address - Street 1:8215 CARTER CREEK DR APT 301
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-4727
Mailing Address - Country:US
Mailing Address - Phone:980-422-3673
Mailing Address - Fax:
Practice Address - Street 1:8215 CARTER CREEK DR APT 301
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-4727
Practice Address - Country:US
Practice Address - Phone:980-422-3673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health