Provider Demographics
NPI:1912118654
Name:HANDS OF SUPPORT
Entity type:Organization
Organization Name:HANDS OF SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:MINGTOY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-277-5248
Mailing Address - Street 1:2513 NW RICHARD DR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3476
Mailing Address - Country:US
Mailing Address - Phone:816-277-5248
Mailing Address - Fax:816-224-3867
Practice Address - Street 1:2513 NW RICHARD DR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3476
Practice Address - Country:US
Practice Address - Phone:816-277-5248
Practice Address - Fax:816-224-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00647781251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based