Provider Demographics
NPI:1215382700
Name:HEALING HANDS REHAB INC
Entity Type:Organization
Organization Name:HEALING HANDS REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHKOLNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-279-9052
Mailing Address - Street 1:23586 CALABASAS RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1330
Mailing Address - Country:US
Mailing Address - Phone:818-224-3837
Mailing Address - Fax:818-224-3847
Practice Address - Street 1:5400 BALBOA BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1502
Practice Address - Country:US
Practice Address - Phone:818-793-3837
Practice Address - Fax:818-788-1940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier