Provider Demographics
NPI:1871274290
Name:HANDS OF COMPASSION MOBILE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:HANDS OF COMPASSION MOBILE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVONDA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-894-0637
Mailing Address - Street 1:113 S MONROE ST FL 1
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-1529
Mailing Address - Country:US
Mailing Address - Phone:229-894-0637
Mailing Address - Fax:
Practice Address - Street 1:1873 PATSY ANN CT S
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3357
Practice Address - Country:US
Practice Address - Phone:229-449-3457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health