Provider Demographics
NPI:1851120737
Name:HEALING HANDS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:HEALING HANDS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:601-569-5443
Mailing Address - Street 1:814 S HAUGH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-4572
Mailing Address - Country:US
Mailing Address - Phone:769-242-0411
Mailing Address - Fax:
Practice Address - Street 1:814 S HAUGH AVE STE A
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-4572
Practice Address - Country:US
Practice Address - Phone:769-242-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health