MEDICARE: GOD'S HANDS PROVIDERS, 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	253Z00000X	In Home Supportive Care Agency	20153	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447493622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOD'S HANDS PROVIDERS, LLC

Provider Business Mailing Address
First Line	:	3402 BAKER BLVD
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-2509
Country	:	US
Telephone Number	:	225-775-0777
Fax Number	:	225-775-0771

Provider Business Practice Location Address
First Line	:	3402 BAKER BLVD
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-2509
Country	:	US
Telephone Number	:	225-775-0777
Fax Number	:	225-775-0771

Authorized Official
Title or Position	:	OWNER
Name	:	BETTY H. BARBER
Credential	:
Telephone Number	:	225-775-0777

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	06/03/2009

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Directions to “GOD'S HANDS PROVIDERS, LLC ” Practice Location

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