Provider Demographics
NPI:1871256818
Name:XTRA HELPING HANDS AND HEARTS LLC
Entity Type:Organization
Organization Name:XTRA HELPING HANDS AND HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-265-8146
Mailing Address - Street 1:2629 TRAMORE PL
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-8706
Mailing Address - Country:US
Mailing Address - Phone:404-265-8146
Mailing Address - Fax:
Practice Address - Street 1:2629 TRAMORE PL
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-8706
Practice Address - Country:US
Practice Address - Phone:404-265-8146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services