MEDICARE: HYS HANDS INC.

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	251S00000X	Community/Behavioral Health Agency
2	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1992421580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYS HANDS INC.

Provider Business Mailing Address
First Line	:	3711 W 3RD ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-1840
Country	:	US
Telephone Number	:	937-677-8217
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 W 3RD ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-1840
Country	:	US
Telephone Number	:	937-677-8217
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ALICIA WRIGHT
Credential	:	RN
Telephone Number	:	937-677-8217

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	10/14/2022

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Directions to “HYS HANDS INC. ” Practice Location

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