Healthcare Provider Details

I. General information

NPI: 1750143350
Provider Name (Legal Business Name): PRETTY HANDS WARM HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 CLANCY AVE
FLINT MI
48503-3379
US

IV. Provider business mailing address

211 N 1ST ST STE 200
BRIGHTON MI
48116-1297
US

V. Phone/Fax

Practice location:
  • Phone: 810-440-2005
  • Fax:
Mailing address:
  • Phone: 810-440-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SADE PARKS
Title or Position: OWNER
Credential:
Phone: 810-965-7566