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NPI Code Detail

MEDICARE: HER PRECIOUS HANDS

MEDICARE: HER PRECIOUS HANDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1114725744
Entity Type Code : Organization
Provider Name (Legal Business Name) : HER PRECIOUS HANDS
Provider Business Mailing Address
First Line : 3212 MCGEE HILL DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-7726
Country : US
Telephone Number : 980-422-3673
Fax Number : 980-236-8391
Provider Business Practice Location Address
First Line : 3212 MCGEE HILL DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-7726
Country : US
Telephone Number : 980-422-3673
Fax Number : 980-236-8391
Authorized Official
Title or Position : AGENCY DIRECTOR
Name : MISS TEEYANA MYCLOVER PRECIOUS MOORE
Credential : B.S
Telephone Number : 980-422-3673
Provider Enumeration Date : 03/07/2025
Last Update Date : 03/18/2025

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Directions to “HER PRECIOUS HANDS ” Practice Location

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