# GIFTED HANDS HOMECARE LLC AGENCY

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

## Provider details

- **NPI number:** 1801556030
- **Authorized official:** SAMOAN S HOGANS (OWNER)
- **Authorized official phone:** (850) 419-0872

## Contact information

- **Practice address:** 1323 N 20TH ST, DEFUNIAK SPRINGS, FL 32433-1556
- **Practice address phone:** (850) 419-0872
- **Practice address fax:** (850) 331-1532
- **Mailing address:** 1323 N 20TH ST, DEFUNIAK SPRINGS, FL 32433-1556
- **Mailing address phone:** (850) 419-0872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2021
- **Last updated:** 04/21/2025