=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023975620
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAVOR-D HANDS HEALTH SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2026
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 612 E TRADE ST
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28034-1827
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-336-9974
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 612 E TRADE ST
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28034-1827
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-336-9974
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | O'BRYAN WILLIAMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 704-297-8181
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------