MEDICARE: HELPING HANDS FACILITATORS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1245602333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS FACILITATORS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 232
Second Line	:
City	:	SURRY
State	:	VA
Zip	:	23883-0232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 COLONIAL TRAIL E
Second Line	:	SUITE B
City	:	SURRY
State	:	VA
Zip	:	23883
Country	:	US
Telephone Number	:	757-813-7945
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LYDIA MINERVA MACHADO
Credential	:
Telephone Number	:	757-813-7945

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	10/28/2015

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