Healthcare Provider Details

I. General information

NPI: 1518310242
Provider Name (Legal Business Name): HAND & HAND IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 07/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 ALAMANDA LN
COCOA FL
32922-6703
US

IV. Provider business mailing address

1045 ALAMANDA LN
COCOA FL
32922-6703
US

V. Phone/Fax

Practice location:
  • Phone: 321-609-0771
  • Fax:
Mailing address:
  • Phone: 321-609-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberL16000077153
License Number StateFL

VIII. Authorized Official

Name: MISS SIMONE L WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 321-609-0771