Healthcare Provider Details

I. General information

NPI: 1255194205
Provider Name (Legal Business Name): GOD HEALING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9367 TWO NOTCH RD STE 208
COLUMBIA SC
29223-6442
US

IV. Provider business mailing address

9367 TWO NOTCH ROAD SUITE 208
COLUMBIA SC
29223-6442
US

V. Phone/Fax

Practice location:
  • Phone: 803-904-4174
  • Fax:
Mailing address:
  • Phone: 803-904-4174
  • Fax:

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: ASIA ALEXANDRA DAVIS
Title or Position: CEO
Credential:
Phone: 803-904-4174