Healthcare Provider Details

I. General information

NPI: 1326276890
Provider Name (Legal Business Name): HELP IN HANDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 LINDA'S LANE
RAEFORD NC
28376-7806
US

IV. Provider business mailing address

123 LINDA'S LANE
RAEFORD NC
28376-7806
US

V. Phone/Fax

Practice location:
  • Phone: 910-977-9888
  • Fax:
Mailing address:
  • Phone: 910-977-9888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberMHL-047-118
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberMHL-047-118
License Number StateNC

VIII. Authorized Official

Name: MR. JIMMIE EDWARD DAVIS JR.
Title or Position: OWNER/CEO
Credential: BS
Phone: 910-977-9888