Provider Demographics
NPI:1417108630
Name:A NEW BEGINNING HEALING HAND
Entity type:Organization
Organization Name:A NEW BEGINNING HEALING HAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED FITTER OF MASTECTOMY
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:VEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:734-925-2556
Mailing Address - Street 1:504 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-2839
Mailing Address - Country:US
Mailing Address - Phone:734-925-2556
Mailing Address - Fax:
Practice Address - Street 1:504 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2839
Practice Address - Country:US
Practice Address - Phone:734-925-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier