MEDICARE: A&R HELPING HANDS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WG0000X	General Practice Registered Nurse
2	207Q00000X	Family Medicine Physician
3	305S00000X	Point of Service
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1467195370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&R HELPING HANDS LLC

Provider Business Mailing Address
First Line	:	231 W CORNERVIEW ST
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-2841
Country	:	US
Telephone Number	:	225-399-3147
Fax Number	:	225-647-8705

Provider Business Practice Location Address
First Line	:	231 W CORNERVIEW ST
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-2841
Country	:	US
Telephone Number	:	225-399-3147
Fax Number	:	225-647-8705

Authorized Official
Title or Position	:	OWNER
Name	:	AQUARIUS LACEY
Credential	:	RN
Telephone Number	:	225-400-1376

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	04/21/2023

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