Provider Demographics
NPI:1871666412
Name:CHURCH OF LOVING HANDS, INC.
Entity Type:Organization
Organization Name:CHURCH OF LOVING HANDS, INC.
Other - Org Name:LOVING HANDS INSTITUTE OF HEALING ARTS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:SKYHAWK
Authorized Official - Last Name:OJALA
Authorized Official - Suffix:
Authorized Official - Credentials:CMT, DD
Authorized Official - Phone:707-725-9627
Mailing Address - Street 1:111 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:CARLOTTA
Mailing Address - State:CA
Mailing Address - Zip Code:95528-9733
Mailing Address - Country:US
Mailing Address - Phone:707-725-9627
Mailing Address - Fax:707-725-2471
Practice Address - Street 1:639 11TH ST
Practice Address - Street 2:
Practice Address - City:FORTUNA
Practice Address - State:CA
Practice Address - Zip Code:95540-2346
Practice Address - Country:US
Practice Address - Phone:707-725-9627
Practice Address - Fax:707-725-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COABMP#106753174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAABMP#106753OtherABMP MASSAGE THERAPIST