Organization
HEAVENLY HANDS CARE
Active
Other names
Heavenly Hands Care
Organization subpart
No
Provider details
NPI number
Authorized official
LATARRAN YOUNG (CEO)
(601) 325-0887
Entity
Organization
Contact information
Practice address
25 PINE ST, HATTIESBURG, MS 39402
(601) 325-0887
Mailing address
25 PINE ST, HATTIESBURG, MS 39402
(601) 325-0887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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