Provider Demographics
NPI:1780284786
Name:GIFTED HANDS ENTERPRISE, LLC
Entity type:Organization
Organization Name:GIFTED HANDS ENTERPRISE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NDIILOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-795-9566
Mailing Address - Street 1:5202 EMORY MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7120
Mailing Address - Country:US
Mailing Address - Phone:832-795-8982
Mailing Address - Fax:832-514-3646
Practice Address - Street 1:5202 EMORY MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7120
Practice Address - Country:US
Practice Address - Phone:832-795-8982
Practice Address - Fax:832-514-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health