Provider Demographics
NPI:1285340059
Name:JOANNES HELPING HANDS HOMECARE SERVICE
Entity type:Organization
Organization Name:JOANNES HELPING HANDS HOMECARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JODON
Authorized Official - Middle Name:LAMORNAE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-371-2721
Mailing Address - Street 1:3127 EASTWAY DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5643
Mailing Address - Country:US
Mailing Address - Phone:704-733-9388
Mailing Address - Fax:704-733-9388
Practice Address - Street 1:3127 EASTWAY DR STE 202
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5643
Practice Address - Country:US
Practice Address - Phone:704-733-9388
Practice Address - Fax:704-733-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care