Healthcare Provider Details

I. General information

NPI: 1760785513
Provider Name (Legal Business Name): HELPING HANDS OF ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2010
Last Update Date: 12/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WALNUT STREET NW
CANAL FULTON OH
44614
US

IV. Provider business mailing address

110 WALNUT STREET NW
CANAL FULTON OH
44614-1153
US

V. Phone/Fax

Practice location:
  • Phone: 330-644-0822
  • Fax: 330-644-0822
Mailing address:
  • Phone: 330-644-0822
  • Fax: 330-644-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: DEBORAH L BALDWIN-ELAVSKY
Title or Position: OWNER
Credential:
Phone: 330-644-0822