Provider Demographics
NPI:1053670109
Name:ARVILLA CARING HANDS, LLC
Entity Type:Organization
Organization Name:ARVILLA CARING HANDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:UDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-917-4420
Mailing Address - Street 1:1218 11TH ST
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-2114
Mailing Address - Country:US
Mailing Address - Phone:304-917-4420
Mailing Address - Fax:
Practice Address - Street 1:1218 11TH ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:WV
Practice Address - Zip Code:26105-2114
Practice Address - Country:US
Practice Address - Phone:304-917-4420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health