MEDICARE: GRANDMAS GIFTED HANDS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1124871249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANDMAS GIFTED HANDS

Provider Business Mailing Address
First Line	:	535 GRISWOLD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48226-3604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 GRISWOLD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48226-3604
Country	:	US
Telephone Number	:	810-660-0367
Fax Number	:

Authorized Official
Title or Position	:	CO-CEO
Name	:	JANAYE MORRIS
Credential	:
Telephone Number	:	810-660-0367

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/09/2024

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Directions to “GRANDMAS GIFTED HANDS ” Practice Location

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