Healthcare Provider Details

I. General information

NPI: 1669175790
Provider Name (Legal Business Name): ANOINTED HAND 4 CARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3487 HUNTERS PACE DR
LITHONIA GA
30038-2896
US

IV. Provider business mailing address

3487 HUNTERS PACE DR
LITHONIA GA
30038-2896
US

V. Phone/Fax

Practice location:
  • Phone: 770-255-8639
  • Fax:
Mailing address:
  • Phone: 770-255-8639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA BROWN-HIGHTOWER
Title or Position: ADMINISTRATOR
Credential:
Phone: 770-255-8639