Provider Demographics
NPI:1215447636
Name:HANDS OF HEALING PROVIDER SERVICES, PC
Entity type:Organization
Organization Name:HANDS OF HEALING PROVIDER SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADANNE
Authorized Official - Middle Name:OKENDU
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-416-7187
Mailing Address - Street 1:610 UPTOWN BLVD STE 267
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3528
Mailing Address - Country:US
Mailing Address - Phone:713-416-7187
Mailing Address - Fax:
Practice Address - Street 1:610 UPTOWN BLVD STE 267
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3528
Practice Address - Country:US
Practice Address - Phone:713-416-7187
Practice Address - Fax:214-919-4378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility