MEDICARE: NURTURINGHANDS PERSONAL CARE SERVICES

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	3747P1801X	Personal Care Attendant	1409472	LA

General Provider Information

NPI Number	:	1881856151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURINGHANDS PERSONAL CARE SERVICES

Provider Business Mailing Address
First Line	:	1713 WOODALE BLVD
Second Line	:	SUITE 11
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1570
Country	:	US
Telephone Number	:	225-246-8377
Fax Number	:	225-771-8496

Provider Business Practice Location Address
First Line	:	1713 WOODALE BLVD
Second Line	:	SUITE 11
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1570
Country	:	US
Telephone Number	:	225-246-8377
Fax Number	:	225-771-8496

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LUCILLE WOODARD
Credential	:
Telephone Number	:	225-246-8377

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	06/27/2008

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