Provider Demographics
NPI:1275842114
Name:PARC LORRAINE EAST AND WEST, INC.
Entity Type:Organization
Organization Name:PARC LORRAINE EAST AND WEST, INC.
Other - Org Name:HELPING HANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-234-5844
Mailing Address - Street 1:3102 BAYBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-8015
Mailing Address - Country:US
Mailing Address - Phone:754-734-5844
Mailing Address - Fax:
Practice Address - Street 1:3102 BAYBERRY WAY
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-8015
Practice Address - Country:US
Practice Address - Phone:754-734-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management