Organization
PRAYING HANDS HOME CARE LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNELL RAHEEM (OWNER)
(616) 608-3150
Entity
Organization
Contact information
Practice address
4922 DIVISION AVE S STE 4, KENTWOOD, MI 49548-4496
(616) 600-8315
(616) 608-4697
Mailing address
4922 DIVISION AVE S STE 4, KENTWOOD, MI 49548-4496
(616) 600-8315
(616) 608-4697
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MI
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8265973
—
MI
Enumeration date
10/13/2017
Last updated
06/16/2018
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