MEDICARE: 2ND PAIR OF HANDS RESIDENTIAL AND COMMERCIAL 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	372500000X	Chore Provider

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	:	1548917495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2ND PAIR OF HANDS RESIDENTIAL AND COMMERCIAL LLC

Provider Business Mailing Address
First Line	:	1321 SHENANDOAH RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-1762
Country	:	US
Telephone Number	:	419-508-9832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 SHENANDOAH RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-1762
Country	:	US
Telephone Number	:	419-508-9832
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATHALIE N WILSON
Credential	:
Telephone Number	:	419-508-9832

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	08/30/2023

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