Provider Demographics
NPI:1114351160
Name:GARY J HARRINGTON
Entity Type:Organization
Organization Name:GARY J HARRINGTON
Other - Org Name:JMH TARGETED CASE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-749-4179
Mailing Address - Street 1:2235 WOLF RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-9144
Mailing Address - Country:US
Mailing Address - Phone:407-749-4179
Mailing Address - Fax:
Practice Address - Street 1:2235 WOLF RIDGE LN
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-9144
Practice Address - Country:US
Practice Address - Phone:407-749-4179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management