# HEALING HANDS COMMUNITY CLINIC, INC

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

## Provider details

- **NPI number:** 1518339795
- **Authorized official:** MRS. JERI ANN KING LPN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (706) 781-7957

## Contact information

- **Practice address:** 64 BRACKETTS WAY, SUITE 3, BLAIRSVILLE, GA 30512-2982
- **Practice address phone:** (706) 994-6768
- **Practice address fax:** (706) 781-3921
- **Mailing address:** PO BOX 2143, BLAIRSVILLE, GA 30514-2143
- **Mailing address phone:** (706) 994-6768
- **Mailing address fax:** (706) 781-3921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | LPN057830 | GA | Yes |
| 261QD0000X | Dental Clinic/Center | LPN057830 | GA | — |
| 261QR1300X | Rural Health Clinic/Center | LPN057830 | GA | — |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 10/27/2015