Provider Demographics
NPI:1609553247
Name:HALLELUJAH LLC
Entity Type:Organization
Organization Name:HALLELUJAH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MENETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-310-3837
Mailing Address - Street 1:17 BARNHILL RD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9182
Mailing Address - Country:US
Mailing Address - Phone:619-310-3837
Mailing Address - Fax:
Practice Address - Street 1:17 BARNHILL RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:PA
Practice Address - Zip Code:17517-9182
Practice Address - Country:US
Practice Address - Phone:619-310-3837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty