Provider Demographics
NPI:1871317081
Name:CARING HANDS WOUND CARE
Entity type:Organization
Organization Name:CARING HANDS WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEP
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-578-4569
Mailing Address - Street 1:502 W ROUTE 66 STE 22B
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4343
Mailing Address - Country:US
Mailing Address - Phone:323-578-4569
Mailing Address - Fax:
Practice Address - Street 1:502 W ROUTE 66 STE 22B
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4343
Practice Address - Country:US
Practice Address - Phone:323-578-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center