Provider Demographics
NPI:1174531727
Name:SISTERS HELPING HANDS INC
Entity type:Organization
Organization Name:SISTERS HELPING HANDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BUTLER WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-685-6752
Mailing Address - Street 1:1463 OAKFIELD DR
Mailing Address - Street 2:SUITE 126
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3899
Mailing Address - Country:US
Mailing Address - Phone:813-685-6752
Mailing Address - Fax:813-653-0402
Practice Address - Street 1:1463 OAKFIELD DR
Practice Address - Street 2:SUITE 126
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-3899
Practice Address - Country:US
Practice Address - Phone:813-685-6752
Practice Address - Fax:813-653-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL685151796Medicaid
FL685151798Medicaid