Provider Demographics
NPI:1104641711
Name:WELCOMING HANDS HEALTHCARE SUPPLIES
Entity type:Organization
Organization Name:WELCOMING HANDS HEALTHCARE SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCKY
Authorized Official - Middle Name:EBI
Authorized Official - Last Name:IGHODARO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:929-255-5425
Mailing Address - Street 1:525 ROUTE 73 N STE 104
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3422
Mailing Address - Country:US
Mailing Address - Phone:929-255-5425
Mailing Address - Fax:
Practice Address - Street 1:100 SCHLEY ST
Practice Address - Street 2:BACK BUILDING
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112
Practice Address - Country:US
Practice Address - Phone:862-233-3921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies