Provider Demographics
NPI:1528509114
Name:VICKI'S BLESSING HANDS LLC
Entity type:Organization
Organization Name:VICKI'S BLESSING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MARKETING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-228-1561
Mailing Address - Street 1:107 FAT AVE
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690
Mailing Address - Country:US
Mailing Address - Phone:828-228-1561
Mailing Address - Fax:
Practice Address - Street 1:107 FAT AVE NE
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-9615
Practice Address - Country:US
Practice Address - Phone:828-228-1561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health