Provider Demographics
NPI:1902393663
Name:HELPING HANDS RECOVERY CENTER, LLC
Entity Type:Organization
Organization Name:HELPING HANDS RECOVERY CENTER, LLC
Other - Org Name:HELPING HANDS RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDGEPETH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,MCAP,ICADC
Authorized Official - Phone:954-261-2580
Mailing Address - Street 1:4101 N ANDREWS AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4775
Mailing Address - Country:US
Mailing Address - Phone:954-261-2580
Mailing Address - Fax:954-769-1446
Practice Address - Street 1:4101 N ANDREWS AVE STE 209
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-4775
Practice Address - Country:US
Practice Address - Phone:954-261-2580
Practice Address - Fax:954-769-1446
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELPING HANDS RECOVERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1001068261QR0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care