Provider Demographics
NPI:1013275833
Name:SUPPORTIVE HANDS L.L.C.,
Entity Type:Organization
Organization Name:SUPPORTIVE HANDS L.L.C.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC
Authorized Official - Phone:774-696-0203
Mailing Address - Street 1:453A LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-1366
Mailing Address - Country:US
Mailing Address - Phone:774-696-0203
Mailing Address - Fax:508-304-9571
Practice Address - Street 1:34 CEDAR ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2560
Practice Address - Country:US
Practice Address - Phone:774-696-0203
Practice Address - Fax:508-304-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care