God'S Handiwork LLC
Technician, Personal Care Attendant in Tyler, TX. Organization (NPI-2).
NPI number1851060578
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1851060578
- Entity type
- Organization (NPI-2)
- Legal business name
- God'S Handiwork LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2021
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 343800000X | Secured Medical Transport (VAN) | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Restorative Healthcare (Doing Business As)
Practice location
3326 S Sw Loop 323Tyler, TX 75701-9237
Phone 903-617-1502 · Fax 903-630-1074
Mailing address
3326 S Sw Loop 323Tyler, TX 75701-9237
Phone 903-617-1502 · Fax 903-630-1074
Authorized official
Sequoia Sana' Holmes
Manager/Owner
9364337271
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