Provider Demographics
NPI:1578862546
Name:HELPING HANDS PREVENTITIVE HEALTH CENTER
Entity type:Organization
Organization Name:HELPING HANDS PREVENTITIVE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-210-0532
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:
Mailing Address - City:FORT DEPOSIT
Mailing Address - State:AL
Mailing Address - Zip Code:36032-0758
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2015 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-210-0532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251S00000XAgenciesCommunity/Behavioral Health