MEDICARE: A HELPING HAND FOR MOM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	332U00000X	Home Delivered Meals
5	385H00000X	Respite Care
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811733058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HELPING HAND FOR MOM LLC

Provider Business Mailing Address
First Line	:	25641 PANAMA AVE
Second Line	:
City	:	WEBSTER
State	:	MN
Zip	:	55088-9515
Country	:	US
Telephone Number	:	507-241-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	25641 PANAMA AVE
Second Line	:
City	:	WEBSTER
State	:	MN
Zip	:	55088-9515
Country	:	US
Telephone Number	:	507-241-1230
Fax Number	:

Authorized Official
Title or Position	:	CEO OWNER
Name	:	MISS PESEY MONY KUOCH
Credential	:
Telephone Number	:	507-241-1230

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	07/08/2024

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