Healthcare Provider Details

I. General information

NPI: 1154619146
Provider Name (Legal Business Name): HEALING HANDS ELDER CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 07/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2457 GELSINGER AVE
BESSEMER CITY NC
28016-6812
US

IV. Provider business mailing address

2457 GELSINGER AVENUE
BESSEMER CITY NC
28016
US

V. Phone/Fax

Practice location:
  • Phone: 704-629-9746
  • Fax: 704-629-9746
Mailing address:
  • Phone: 704-629-9746
  • Fax: 704-629-9746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. FLEISHA SHEIVON BREWTON
Title or Position: OWNER/AGENCY DIRECTOR
Credential: BS, MMPA
Phone: 704-629-9746