Healthcare Provider Details

I. General information

NPI: 1659205771
Provider Name (Legal Business Name): SACRED HANDS AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 OFFICE PARK DR UNIT J
PALM COAST FL
32137-3822
US

IV. Provider business mailing address

4 OFFICE PARK DR UNIT J
PALM COAST FL
32137-3822
US

V. Phone/Fax

Practice location:
  • Phone: 678-713-1245
  • Fax:
Mailing address:
  • Phone: 678-713-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNN ANN ERGLE
Title or Position: OWNER
Credential: A ERGLE
Phone: 678-713-1245