Healthcare Provider Details

I. General information

NPI: 1568769727
Provider Name (Legal Business Name): HEALING HANDS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 ARBOR AVE
NORFOLK VA
23513-1115
US

IV. Provider business mailing address

PO BOX 10824
NORFOLK VA
23513-0824
US

V. Phone/Fax

Practice location:
  • Phone: 757-288-0996
  • Fax: 757-531-7729
Mailing address:
  • Phone: 757-288-0996
  • Fax: 757-531-7729

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 State

VIII. Authorized Official

Name: DEBORAH A LAWRENCE
Title or Position: ADMINISTRATOR
Credential: B.S., QMHP
Phone: 757-288-0996