Provider Demographics
NPI:1861162018
Name:GRACE HANDS AT HOME
Entity type:Organization
Organization Name:GRACE HANDS AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAFO-AKOWUAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-904-2328
Mailing Address - Street 1:24 CALLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461
Mailing Address - Country:US
Mailing Address - Phone:347-904-2328
Mailing Address - Fax:203-283-5763
Practice Address - Street 1:24 CALLOWAY DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461
Practice Address - Country:US
Practice Address - Phone:347-904-2328
Practice Address - Fax:203-283-5763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-19
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty