Provider Demographics
NPI:1114725744
Name:HER PRECIOUS HANDS
Entity type:Organization
Organization Name:HER PRECIOUS HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TEEYANA
Authorized Official - Middle Name:MYCLOVER PRECIOUS
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:980-422-3673
Mailing Address - Street 1:3212 MCGEE HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-7726
Mailing Address - Country:US
Mailing Address - Phone:980-422-3673
Mailing Address - Fax:980-236-8391
Practice Address - Street 1:3212 MCGEE HILL DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-7726
Practice Address - Country:US
Practice Address - Phone:980-422-3673
Practice Address - Fax:980-236-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care