Provider Demographics
NPI:1982238515
Name:JOLLYS HELPING HANDS LLC
Entity type:Organization
Organization Name:JOLLYS HELPING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:JOLLY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:817-936-3209
Mailing Address - Street 1:1713 DOVE LOOP RD APT 226
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8912
Mailing Address - Country:US
Mailing Address - Phone:817-936-3209
Mailing Address - Fax:817-527-6118
Practice Address - Street 1:1713 DOVE LOOP RD APT 226
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8912
Practice Address - Country:US
Practice Address - Phone:817-936-3209
Practice Address - Fax:817-527-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-22
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health