MEDICARE: HEALING HANDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36363601	OTHER	PA	PA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1922507292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS

Provider Business Mailing Address
First Line	:	1669 ARNOLD AVE
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-4526
Country	:	US
Telephone Number	:	267-872-4234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 E CHELTEN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-3014
Country	:	US
Telephone Number	:	215-548-4500
Fax Number	:	215-548-4502

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	DR. IYABODE LEAH ADEWALE
Credential	:	PHARM.D
Telephone Number	:	267-872-4234

Provider Enumeration Date	:	02/01/2018
Last Update Date	:	02/01/2018

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Directions to “HEALING HANDS ” Practice Location

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