Provider Demographics
NPI:1669272142
Name:HEALING HANDS HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:HEALING HANDS HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TEQUILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-305-3140
Mailing Address - Street 1:100 N PATTERSON ST # 128
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-5570
Mailing Address - Country:US
Mailing Address - Phone:470-305-3140
Mailing Address - Fax:
Practice Address - Street 1:100 N PATTERSON ST # 128
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-5570
Practice Address - Country:US
Practice Address - Phone:470-305-3140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health