Provider Demographics
NPI:1124680053
Name:MARYS HELPING HANDS
Entity type:Organization
Organization Name:MARYS HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:734-796-0847
Mailing Address - Street 1:1699 SAVANNAH LN
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-3600
Mailing Address - Country:US
Mailing Address - Phone:734-796-0847
Mailing Address - Fax:
Practice Address - Street 1:1699 SAVANNAH LN
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-3600
Practice Address - Country:US
Practice Address - Phone:734-796-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRYSTAL MCLILLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty