Provider Demographics
NPI:1376720532
Name:HELPING HANDS PEDIATRIC DAY HEALTH CARE
Entity Type:Organization
Organization Name:HELPING HANDS PEDIATRIC DAY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERYL
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:530-873-0554
Mailing Address - Street 1:6407 CORNING CT
Mailing Address - Street 2:
Mailing Address - City:MAGALIA
Mailing Address - State:CA
Mailing Address - Zip Code:95954-9670
Mailing Address - Country:US
Mailing Address - Phone:530-873-0554
Mailing Address - Fax:530-873-0559
Practice Address - Street 1:6407 CORNING CT
Practice Address - Street 2:
Practice Address - City:MAGALIA
Practice Address - State:CA
Practice Address - Zip Code:95954-9670
Practice Address - Country:US
Practice Address - Phone:530-873-0554
Practice Address - Fax:530-873-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care