| Organization Name: | GRANDMA'S HANDS IN-HOME SERVICES LLC |
| NPI Number: | 1881066074 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOZZIE L BETTS (OWNER/EXECUTIVE DIRECTOR) |
| Mailing Address: | 119 Church Street Suite 121 Ferguson |
| State: | MO US |
| Postal Code: | 63135 |
| Phone Number: | 3144350009 |
| Fax Number: | 3143955321 |
| NPI Enumeration Date: | 10/27/2015 |
| NPI Last Update Date: | 11/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 186 |
| 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 |