Provider Demographics
NPI:1881731537
Name:HEART AND HAND CARE SERVICES
Entity type:Organization
Organization Name:HEART AND HAND CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-726-4397
Mailing Address - Street 1:1205 S DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MO
Mailing Address - Zip Code:64402-1713
Mailing Address - Country:US
Mailing Address - Phone:660-726-4397
Mailing Address - Fax:660-726-4397
Practice Address - Street 1:1205 S DALLAS ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MO
Practice Address - Zip Code:64402-1713
Practice Address - Country:US
Practice Address - Phone:660-726-4397
Practice Address - Fax:660-726-4397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO85620001Medicaid