Provider Demographics
NPI:1740333103
Name:BLESSED HANDS ASSISTANCE LIVING FACILITY
Entity type:Organization
Organization Name:BLESSED HANDS ASSISTANCE LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:RHOCHELLE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-374-0697
Mailing Address - Street 1:729 HIGHCREST DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-3541
Mailing Address - Country:US
Mailing Address - Phone:214-374-0697
Mailing Address - Fax:
Practice Address - Street 1:729 HIGHCREST DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-3541
Practice Address - Country:US
Practice Address - Phone:214-374-0697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101639310400000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered385H00000XRespite Care FacilityRespite Care