Healthcare Provider Details

I. General information

NPI: 1508252735
Provider Name (Legal Business Name): AMAZIN HANDZ'S HOMEMAKER COMPANION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1746 E SILVER STAR RD #335
OCOEE FL
34761-7014
US

IV. Provider business mailing address

1746 E SILVER STAR RD #335
OCOEE FL
34761-7014
US

V. Phone/Fax

Practice location:
  • Phone: 321-438-1032
  • Fax:
Mailing address:
  • Phone: 321-438-1032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAWANNA BAKER
Title or Position: PRESIDENT
Credential: MA
Phone: 321-438-1032