Provider Demographics
NPI:1063154409
Name:HANDS OF GRACE HEALTHCARE LLC
Entity type:Organization
Organization Name:HANDS OF GRACE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:AKENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-694-3614
Mailing Address - Street 1:37 DEERNOLM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1249
Mailing Address - Country:US
Mailing Address - Phone:617-694-3614
Mailing Address - Fax:
Practice Address - Street 1:61 MAIN ST
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:MA
Practice Address - Zip Code:01504-2215
Practice Address - Country:US
Practice Address - Phone:617-694-3614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care