Healthcare Provider Details
I. General information
NPI: 1033482120
Provider Name (Legal Business Name): HELPING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2012
Last Update Date: 02/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2512 25TH AVE STE 5-D
GULFPORT MS
39501-4814
US
IV. Provider business mailing address
16174 SADDLE DR
GULFPORT MS
39503-4285
US
V. Phone/Fax
- Phone: 228-806-6839
- Fax: 228-206-6839
- Phone: 228-234-4705
- Fax: 228-206-6839
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
PERKELA
BURCHETT
Title or Position: DIRECTOR
Credential: LPN
Phone: 228-234-4705