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NPI Code Detail

MEDICARE: ESSENTIAL HAND IN HAND LLC

MEDICARE: ESSENTIAL HAND IN HAND LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1932729613
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIAL HAND IN HAND LLC
Provider Business Mailing Address
First Line : 2901 AVENUE D
Second Line : APARMENT D
City : FORT PIERCE
State : FL
Zip : 34947-2663
Country : US
Telephone Number : 772-626-4456
Fax Number :
Provider Business Practice Location Address
First Line : 2901 AVENUE D
Second Line : APARMENT D
City : FORT PIERCE
State : FL
Zip : 34947-2663
Country : US
Telephone Number : 772-626-4456
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. GAYLEANN KING
Credential :
Telephone Number : 772-626-4456
Provider Enumeration Date : 04/22/2020
Last Update Date : 04/22/2020

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Directions to “ESSENTIAL HAND IN HAND LLC ” Practice Location

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