Provider Demographics
NPI:1538735030
Name:HANDY, DANA TERRELL
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:TERRELL
Last Name:HANDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:A
Other - Last Name:MILSTEAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HANDI CARE TRANS,LLC
Mailing Address - Street 1:217 EVANGELINE LN
Mailing Address - Street 2:
Mailing Address - City:RAYNE
Mailing Address - State:LA
Mailing Address - Zip Code:70578-4053
Mailing Address - Country:US
Mailing Address - Phone:337-458-1316
Mailing Address - Fax:
Practice Address - Street 1:217 EVANGELINE LN
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-4053
Practice Address - Country:US
Practice Address - Phone:337-458-1316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA006288957172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver