Provider Demographics
NPI:1922450931
Name:GRACEFUL HANDS OF CARE
Entity Type:Organization
Organization Name:GRACEFUL HANDS OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERSHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:859-248-8018
Mailing Address - Street 1:PO BOX 32339
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48232-0339
Mailing Address - Country:US
Mailing Address - Phone:859-248-8018
Mailing Address - Fax:844-332-3303
Practice Address - Street 1:17549 SILVER MAPLE ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2811
Practice Address - Country:US
Practice Address - Phone:859-248-8018
Practice Address - Fax:844-332-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-01
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty