MEDICARE: HEALING HANDS HOME 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	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1285405613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	5649 W WOOD ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-6324
Country	:	US
Telephone Number	:	262-993-1444
Fax Number	:

Provider Business Practice Location Address
First Line	:	5649 W WOOD ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-6324
Country	:	US
Telephone Number	:	262-993-1444
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YUTASHA WILKS
Credential	:
Telephone Number	:	262-993-1444

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

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Directions to “HEALING HANDS HOME CARE SERVICES ” Practice Location

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