Provider Demographics
NPI:1437693686
Name:HANDICAPPED HIGH RIDERS CLUB
Entity Type:Organization
Organization Name:HANDICAPPED HIGH RIDERS CLUB
Other - Org Name:RIDING HIGH FARM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:I
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-492-0991
Mailing Address - Street 1:145 ROUTE 526
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-2016
Mailing Address - Country:US
Mailing Address - Phone:609-259-3884
Mailing Address - Fax:
Practice Address - Street 1:145 ROUTE 526
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-2016
Practice Address - Country:US
Practice Address - Phone:609-259-3884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251C00000XAgenciesDay Training, Developmentally Disabled Services