Provider Demographics
NPI:1619111317
Name:HELPING HANDS HOUSING & DEVELOPMENTAL SERVICES AGENCY
Entity Type:Organization
Organization Name:HELPING HANDS HOUSING & DEVELOPMENTAL SERVICES AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUIDO
Authorized Official - Middle Name:ANIBAL
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:904-993-3866
Mailing Address - Street 1:3617 CROWN POINT ROAD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-9010
Mailing Address - Country:US
Mailing Address - Phone:904-303-4501
Mailing Address - Fax:904-619-0377
Practice Address - Street 1:12335 STOCKBRIDGE CT S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-1203
Practice Address - Country:US
Practice Address - Phone:904-993-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AZTEC AMERICAN BUILDERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-24
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care