Provider Demographics
NPI:1376871392
Name:HEALING HANDS INC
Entity Type:Organization
Organization Name:HEALING HANDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIGG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-301-9057
Mailing Address - Street 1:1027 S HUSSEY ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-8279
Mailing Address - Country:US
Mailing Address - Phone:509-301-9057
Mailing Address - Fax:
Practice Address - Street 1:1103B S 2ND AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-4118
Practice Address - Country:US
Practice Address - Phone:509-529-4850
Practice Address - Fax:509-529-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00044814261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty