Provider Demographics
NPI:1023419678
Name:GRANDMAS HELPING HANDS
Entity type:Organization
Organization Name:GRANDMAS HELPING HANDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-238-8337
Mailing Address - Street 1:601 ENGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5051
Mailing Address - Country:US
Mailing Address - Phone:864-238-8337
Mailing Address - Fax:
Practice Address - Street 1:601 ENGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5051
Practice Address - Country:US
Practice Address - Phone:864-238-8337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3344809302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization