Provider Demographics
NPI:1376842179
Name:WHOLLY HANDS HEALTHCARE INC
Entity Type:Organization
Organization Name:WHOLLY HANDS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-625-3265
Mailing Address - Street 1:14 TALBOT STREET
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042
Mailing Address - Country:US
Mailing Address - Phone:201-625-3265
Mailing Address - Fax:
Practice Address - Street 1:14 TALBOT ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-5917
Practice Address - Country:US
Practice Address - Phone:201-625-3265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health