MEDICARE: TRUSTED HANDS L.L.C.

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	3477-0442	MI

General Provider Information

NPI Number	:	1578886743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED HANDS L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 210481
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48321-0481
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 W RUTGERS AVE
Second Line	:
City	:	PONTIAC
State	:	MI
Zip	:	48340-2757
Country	:	US
Telephone Number	:	248-390-8791
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LACRESHA HAMLER
Credential	:
Telephone Number	:	248-390-8791

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

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