MEDICARE: NURTURING HANDSCOMMUNITY CARE SERVICES

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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1174269625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURING HANDSCOMMUNITY CARE SERVICES

Provider Business Mailing Address
First Line	:	12731 WOODMONT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-1215
Country	:	US
Telephone Number	:	313-333-5286
Fax Number	:

Provider Business Practice Location Address
First Line	:	27500 7 MILE RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3865
Country	:	US
Telephone Number	:	313-333-5286
Fax Number	:

Authorized Official
Title or Position	:	CEO / PRESIDENT
Name	:	JOY JACKSON
Credential	:
Telephone Number	:	313-333-5286

Provider Enumeration Date	:	05/09/2022
Last Update Date	:	05/09/2022

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