MEDICARE: GOODHANDS LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093181851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODHANDS LLC

Provider Business Mailing Address
First Line	:	4386 FOREST BRIDGE DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-7917
Country	:	US
Telephone Number	:	734-796-3133
Fax Number	:

Provider Business Practice Location Address
First Line	:	4386 FOREST BRIDGE DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-7917
Country	:	US
Telephone Number	:	734-796-3133
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WINIFRED NWANKWO
Credential	:
Telephone Number	:	734-796-3133

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	12/28/2016

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Directions to “GOODHANDS LLC ” Practice Location

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