Provider Demographics
NPI:1053723718
Name:HANDMAIDEN MINISTRIES
Entity type:Organization
Organization Name:HANDMAIDEN MINISTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:INGA A. BROCKINGTON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROCKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC, CADC, REV
Authorized Official - Phone:267-306-7153
Mailing Address - Street 1:PO BOX 1350
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-1350
Mailing Address - Country:US
Mailing Address - Phone:215-558-9810
Mailing Address - Fax:
Practice Address - Street 1:690 MANSION ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-3844
Practice Address - Country:US
Practice Address - Phone:215-558-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable