Healthcare Provider Details

I. General information

NPI: 1528353695
Provider Name (Legal Business Name): ABLE HANDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 ELKS TRL
NEW CASTLE DE
19720-3856
US

IV. Provider business mailing address

23 ELKS TRL
NEW CASTLE DE
19720-3856
US

V. Phone/Fax

Practice location:
  • Phone: 302-397-7061
  • Fax:
Mailing address:
  • Phone: 302-397-7061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: BALKISSOU YOUSIFFOU
Title or Position: PRESIDENT
Credential: BOARD MEMBER
Phone: 302-397-7061