Healthcare Provider Details

I. General information

NPI: 1033716667
Provider Name (Legal Business Name): LENDING HANDS OF INSPIRATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S VOLUSIA ST
ST AUGUSTINE FL
32084-0406
US

IV. Provider business mailing address

401 S VOLUSIA ST
ST AUGUSTINE FL
32084-0406
US

V. Phone/Fax

Practice location:
  • Phone: 904-392-1058
  • Fax:
Mailing address:
  • Phone: 904-392-1058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. STADASHA D ANDERSON
Title or Position: OWNER
Credential:
Phone: 904-392-1058