Provider Demographics
NPI:1992120604
Name:SUMMERS HELPING HANDS, LLC
Entity type:Organization
Organization Name:SUMMERS HELPING HANDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUMMERS
Authorized Official - Middle Name:D
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:307-797-4381
Mailing Address - Street 1:PO BOX 10487
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-0487
Mailing Address - Country:US
Mailing Address - Phone:307-797-4381
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:2105 LILAC LN
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8560
Practice Address - Country:US
Practice Address - Phone:307-797-4381
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY22125163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty