MEDICARE: A HELPING HAND CLEANERS AND COMPANIONS

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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1780916296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HELPING HAND CLEANERS AND COMPANIONS

Provider Business Mailing Address
First Line	:	712 S MOORE RD
Second Line	:
City	:	EAST RIDGE
State	:	TN
Zip	:	37412-2954
Country	:	US
Telephone Number	:	423-304-1885
Fax Number	:	423-591-5911

Provider Business Practice Location Address
First Line	:	712 S MOORE RD
Second Line	:
City	:	EAST RIDGE
State	:	TN
Zip	:	37412-2954
Country	:	US
Telephone Number	:	423-304-1885
Fax Number	:	423-591-5911

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANGELA DENISE BALES
Credential	:	MA/CNA
Telephone Number	:	423-304-1885

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	02/08/2010

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