Provider Demographics
NPI:1467908780
Name:HORIZON HOUSE, INC.
Entity Type:Organization
Organization Name:HORIZON HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF INFORMATION SYSTEMS & TECH
Authorized Official - Prefix:
Authorized Official - First Name:KARIEMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE-MACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-386-3838
Mailing Address - Street 1:419 W COUNTY LINE ROAD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:419 W COUNTY LINE ROAD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040
Practice Address - Country:US
Practice Address - Phone:610-279-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HORIZON HOUSE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health