Healthcare Provider Details

I. General information

NPI: 1972757003
Provider Name (Legal Business Name): P.A.HELPING HANDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MOSSEY OAK DR
ALBANY GA
31701-6101
US

IV. Provider business mailing address

133 MOSSEY OAK DRIVE
ALBANY GA
31701-6101
US

V. Phone/Fax

Practice location:
  • Phone: 229-435-2016
  • Fax: 229-435-2016
Mailing address:
  • Phone: 229-435-2016
  • Fax: 229-435-2016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number8997
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number9489
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberCN0028857249
License Number StateGA

VIII. Authorized Official

Name: MS. PATRICIA LAVERNE NEALY
Title or Position: OFFICE MANAGER
Credential:
Phone: 229-435-2016