Provider Demographics
NPI:1457952905
Name:AMAZING HANDS HEALTH SERVICES
Entity Type:Organization
Organization Name:AMAZING HANDS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONDOUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-4691
Mailing Address - Street 1:9229 MATTHEW DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2451
Mailing Address - Country:US
Mailing Address - Phone:240-423-4691
Mailing Address - Fax:
Practice Address - Street 1:9229 MATTHEW DR
Practice Address - Street 2:
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111-2451
Practice Address - Country:US
Practice Address - Phone:240-423-4691
Practice Address - Fax:443-773-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities