- Enrollment id
- O20161102002964
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1457722449
- Multiple npi flag
- N
- Ccn
- 677101
- Associate id
- 3971895665
- Organization name
- HEALING HANDS HEALTHCARE
- Incorporation date
- 2015-09-10
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 901 INDIANA AVE
- Address line 2
- STE 665
- City
- WICHITA FALLS
- State
- TX
- Zip code
- 763016718