Provider Demographics
NPI:1699591933
Name:KARING HANDS PROVIDER SERVICES
Entity type:Organization
Organization Name:KARING HANDS PROVIDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIRRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:330-956-0766
Mailing Address - Street 1:3536 KENYON CREEK AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-8905
Mailing Address - Country:US
Mailing Address - Phone:330-956-0766
Mailing Address - Fax:
Practice Address - Street 1:3536 KENYON CREEK AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-8905
Practice Address - Country:US
Practice Address - Phone:330-956-0766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities