Provider Demographics
NPI:1861629834
Name:LAURA'S HEALING HANDS
Entity Type:Organization
Organization Name:LAURA'S HEALING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:RAASTAD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CLT
Authorized Official - Phone:520-450-9804
Mailing Address - Street 1:2952 E HADDAN CT
Mailing Address - Street 2:
Mailing Address - City:ELOY
Mailing Address - State:AZ
Mailing Address - Zip Code:85231-2708
Mailing Address - Country:US
Mailing Address - Phone:520-450-9804
Mailing Address - Fax:520-723-4391
Practice Address - Street 1:2952 E HADDAN CT
Practice Address - Street 2:
Practice Address - City:ELOY
Practice Address - State:AZ
Practice Address - Zip Code:85231-2708
Practice Address - Country:US
Practice Address - Phone:520-450-9804
Practice Address - Fax:520-723-4391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3824261QA0600X, 261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care