Provider Demographics
NPI:1922507292
Name:HEALING HANDS
Entity Type:Organization
Organization Name:HEALING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IYABODE
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:ADEWALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:267-872-4234
Mailing Address - Street 1:1669 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-4526
Mailing Address - Country:US
Mailing Address - Phone:267-872-4234
Mailing Address - Fax:
Practice Address - Street 1:2004 E CHELTEN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-3014
Practice Address - Country:US
Practice Address - Phone:215-548-4500
Practice Address - Fax:215-548-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA36363601OtherPA DEPARTMENT OF HEALTH