Provider Demographics
NPI:1174708044
Name:ABLE HANDS LLC
Entity type:Organization
Organization Name:ABLE HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTER NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:WADSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:804-326-0554
Mailing Address - Street 1:4924 RAIL DR
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-5464
Mailing Address - Country:US
Mailing Address - Phone:804-326-0554
Mailing Address - Fax:804-326-0655
Practice Address - Street 1:4924 RAIL DR
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-5464
Practice Address - Country:US
Practice Address - Phone:804-326-0554
Practice Address - Fax:804-326-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAW08002000320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness