Healthcare Provider Details

I. General information

NPI: 1407179765
Provider Name (Legal Business Name): HELPING HANDS OF MARTIN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 11/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CEDAR ST APT 13
LOOGOOTEE IN
47553-2446
US

IV. Provider business mailing address

211 CEDAR ST APT 13
LOOGOOTEE IN
47553-2446
US

V. Phone/Fax

Practice location:
  • Phone: 812-259-0543
  • Fax:
Mailing address:
  • Phone: 812-259-0543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. JESSE RENE DENNY
Title or Position: HEALTH CARE MANAGER/ ADMINISTRATOR
Credential: B.S.
Phone: 812-259-0543