Healthcare Provider Details

I. General information

NPI: 1184776189
Provider Name (Legal Business Name): HELPING HANDS CARE MANAGEMENT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 S NORWOOD ST
WALLACE NC
28466-1619
US

IV. Provider business mailing address

PO BOX 595
WALLACE NC
28466-0595
US

V. Phone/Fax

Practice location:
  • Phone: 910-285-5221
  • Fax: 910-285-5687
Mailing address:
  • Phone: 910-285-5221
  • Fax: 910-285-5687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL THOMAS FAISON
Title or Position: PRESIDENT
Credential:
Phone: 704-975-2286