Provider Demographics
NPI:1073902870
Name:HAND OVER HAND, LLC
Entity Type:Organization
Organization Name:HAND OVER HAND, LLC
Other - Org Name:HAND OVER HAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-722-9693
Mailing Address - Street 1:1 FOREST CT
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2514
Mailing Address - Country:US
Mailing Address - Phone:973-722-9693
Mailing Address - Fax:973-737-9011
Practice Address - Street 1:1 FOREST CT
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2514
Practice Address - Country:US
Practice Address - Phone:973-722-9693
Practice Address - Fax:973-722-9693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NJ24019261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Yes251S00000XAgenciesCommunity/Behavioral Health