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General NPI Number Information
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NPI Number | 1215447636
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Entity Type | Organization
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Legal Business Name | HANDS OF HEALING PROVIDER SERVICES, PC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 610 UPTOWN BLVD STE 267
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City | CEDAR HILL
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State | TX
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Zip | 75104-3528
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Country | US
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Telephone | 713-416-7187
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Fax | 214-919-4378
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Provider Business Mailing Address
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Address Line | 610 UPTOWN BLVD STE 267
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City | CEDAR HILL
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State | TX
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Zip | 75104-3528
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Country | US
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Telephone | 713-416-7187
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ADANNE OKENDU LACY
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Credential | PHARMD
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Telephone | 713-416-7187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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