Provider Demographics
NPI:1982288270
Name:MIGHTY HAND LLC
Entity Type:Organization
Organization Name:MIGHTY HAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WALTERLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAGRAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-477-0306
Mailing Address - Street 1:9074 MARBLE FALLS CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-6146
Mailing Address - Country:US
Mailing Address - Phone:703-477-0306
Mailing Address - Fax:
Practice Address - Street 1:9074 MARBLE FALLS CT
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-6146
Practice Address - Country:US
Practice Address - Phone:703-477-0306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty