Healthcare Provider Details

I. General information

NPI: 1780916296
Provider Name (Legal Business Name): A HELPING HAND CLEANERS AND COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 S MOORE RD
EAST RIDGE TN
37412-2954
US

IV. Provider business mailing address

712 S MOORE RD
EAST RIDGE TN
37412-2954
US

V. Phone/Fax

Practice location:
  • Phone: 423-304-1885
  • Fax: 423-591-5911
Mailing address:
  • Phone: 423-304-1885
  • Fax: 423-591-5911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA DENISE BALES
Title or Position: OWNER
Credential: MA/CNA
Phone: 423-304-1885