Provider Demographics
NPI:1588375737
Name:HANDS OF LIGHT HEALING CENTER LLC
Entity type:Organization
Organization Name:HANDS OF LIGHT HEALING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MLT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGUNDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-208-1177
Mailing Address - Street 1:112 CAPTAIN LOTHROP RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-2818
Mailing Address - Country:US
Mailing Address - Phone:774-208-1177
Mailing Address - Fax:
Practice Address - Street 1:677 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3493
Practice Address - Country:US
Practice Address - Phone:774-208-1177
Practice Address - Fax:508-790-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty