# HEALING HANDS PRIVATE CARE ,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043629884
- **Authorized official:** MS. STACI SLACK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (678) 387-9409

## Contact information

- **Practice address:** 2100 PARKLAKE DR NE \# C-5, ATLANTA, GA 30345-2824
- **Practice address phone:** (678) 387-9409
- **Practice address fax:** (470) 401-2557
- **Mailing address:** 4440 IDLEWOOD PARK, LITHONIA, GA 30038-6247
- **Mailing address phone:** (678) 559-8378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 02/07/2024
