Organization Name: | DIVINE HANDS HOME CARE CDS LLC |
NPI Number: | 1144586108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LACHA HUGHES (MANAGER) |
Mailing Address: | 7060 Howdershell Rd Hazelwood |
State: | MO US |
Postal Code: | 630423804 |
Phone Number: | 3142229911 |
Fax Number: | 3142552134 |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | LC1186521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |