MEDICARE: HANDS OF HARMONY HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750858619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS OF HARMONY HOME CARE LLC

Provider Business Mailing Address
First Line	:	260 N INDUSTRIAL DR UNIT 740686
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32774-7529
Country	:	US
Telephone Number	:	386-414-6179
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 N INDUSTRIAL DR UNIT 740686
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32774-7529
Country	:	US
Telephone Number	:	386-414-6179
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHELLY FRANCIS
Credential	:
Telephone Number	:	386-414-6179

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	10/30/2018

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