Provider Demographics
NPI:1427781103
Name:ELEGANT AND GENTLE HANDS HOME CARE
Entity type:Organization
Organization Name:ELEGANT AND GENTLE HANDS HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-636-3811
Mailing Address - Street 1:6593 ARBOR GATE DR SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-4461
Mailing Address - Country:US
Mailing Address - Phone:470-636-3811
Mailing Address - Fax:
Practice Address - Street 1:6593 ARBOR GATE DR SW
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-4461
Practice Address - Country:US
Practice Address - Phone:470-636-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health