Healthcare Provider Details
I. General information
NPI: 1194026005
Provider Name (Legal Business Name): SENIOR HELPING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2010
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
416 12TH AVE
INDIAN ROCKS BEACH FL
33785-2857
US
IV. Provider business mailing address
416 12TH AVE
INDIAN ROCKS BEACH FL
33785-2857
US
V. Phone/Fax
- Phone: 727-498-5312
- Fax: 727-498-5312
- Phone: 727-498-5312
- Fax: 727-498-5312
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ELIZABETH
T.
COVINGTON
Title or Position: OWNER
Credential: MBA
Phone: 727-498-5312