Provider Demographics
NPI:1356697502
Name:HANDS IN NEED DBA COMFORT KEEPERS
Entity type:Organization
Organization Name:HANDS IN NEED DBA COMFORT KEEPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGLOTHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-440-5051
Mailing Address - Street 1:10677 S US HWY 15 501
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-5154
Mailing Address - Country:US
Mailing Address - Phone:910-246-8000
Mailing Address - Fax:
Practice Address - Street 1:10677 S US HWY 15 501
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5154
Practice Address - Country:US
Practice Address - Phone:910-246-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3864253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care