Provider Demographics
NPI:1841815487
Name:HATTIE'S HEALING HANDS HOME CARE, LLC
Entity type:Organization
Organization Name:HATTIE'S HEALING HANDS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:GAMBRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-367-4134
Mailing Address - Street 1:102 MATTISON ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29697-1530
Mailing Address - Country:US
Mailing Address - Phone:864-367-4134
Mailing Address - Fax:864-841-6093
Practice Address - Street 1:102 MATTISON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:SC
Practice Address - Zip Code:29697-1530
Practice Address - Country:US
Practice Address - Phone:864-367-4134
Practice Address - Fax:864-841-6093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care