Provider Demographics
NPI:1457042426
Name:GUIDING HANDS SUPPORT LLC
Entity Type:Organization
Organization Name:GUIDING HANDS SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAMESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-606-7989
Mailing Address - Street 1:1957 S MILITARY HWY STE 5B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4422
Mailing Address - Country:US
Mailing Address - Phone:757-606-7989
Mailing Address - Fax:
Practice Address - Street 1:1957 S MILITARY HWY STE 5B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4422
Practice Address - Country:US
Practice Address - Phone:757-606-7989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care