Provider Demographics
NPI:1306408810
Name:HANDS IN CARE LLC
Entity type:Organization
Organization Name:HANDS IN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-261-9497
Mailing Address - Street 1:2109 19TH ST
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-2918
Mailing Address - Country:US
Mailing Address - Phone:228-342-7437
Mailing Address - Fax:228-206-5478
Practice Address - Street 1:2109 19TH ST
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-2918
Practice Address - Country:US
Practice Address - Phone:228-342-7437
Practice Address - Fax:228-206-5478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health