MEDICARE: HER PRECIOUS HANDS

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	:	1821865684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HER PRECIOUS HANDS

Provider Business Mailing Address
First Line	:	8215 CARTER CREEK DR APT 301
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-4727
Country	:	US
Telephone Number	:	980-422-3673
Fax Number	:

Provider Business Practice Location Address
First Line	:	8215 CARTER CREEK DR APT 301
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-4727
Country	:	US
Telephone Number	:	980-422-3673
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TEEYANA MOORE
Credential	:
Telephone Number	:	980-422-7396

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	12/11/2023

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Directions to “HER PRECIOUS HANDS ” Practice Location

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