Provider Demographics
NPI:1205004025
Name:HARVEST HOUSE COMMUNITY DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:HARVEST HOUSE COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:P
Authorized Official - Last Name:DOROBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-919-9464
Mailing Address - Street 1:560 ROB ROY DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2463
Mailing Address - Country:US
Mailing Address - Phone:407-919-9464
Mailing Address - Fax:
Practice Address - Street 1:560 ROB ROY DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2463
Practice Address - Country:US
Practice Address - Phone:407-919-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable