Provider Demographics
NPI:1700242872
Name:OUR HANDS THAT CARE IHS LLC
Entity Type:Organization
Organization Name:OUR HANDS THAT CARE IHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-361-2178
Mailing Address - Street 1:4144 LINDELL BLVD STE 312A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2953
Mailing Address - Country:US
Mailing Address - Phone:314-361-2178
Mailing Address - Fax:844-274-1077
Practice Address - Street 1:4144 LINDELL BLVD STE 312A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2953
Practice Address - Country:US
Practice Address - Phone:314-361-2178
Practice Address - Fax:844-274-1077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization