Healthcare Provider Details

I. General information

NPI: 1568918688
Provider Name (Legal Business Name): CARING HANDS OF HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W666 COUNTY ROAD DD
THERESA WI
53091-9701
US

IV. Provider business mailing address

W666 COUNTY ROAD DD
THERESA WI
53091-9701
US

V. Phone/Fax

Practice location:
  • Phone: 920-539-9986
  • Fax: 920-488-2824
Mailing address:
  • Phone: 920-539-9986
  • Fax: 920-488-2824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITA BANDLE
Title or Position: OWER
Credential:
Phone: 920-539-9986