Provider Demographics
NPI:1942266762
Name:HILLSBOROUGH ASSOCIATION FOR RETARDED CITIZENS, INC.
Entity Type:Organization
Organization Name:HILLSBOROUGH ASSOCIATION FOR RETARDED CITIZENS, INC.
Other - Org Name:HARC, TBASS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:LILLISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-931-9100
Mailing Address - Street 1:PO BOX 9537
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33674-9537
Mailing Address - Country:US
Mailing Address - Phone:813-931-9100
Mailing Address - Fax:813-915-9083
Practice Address - Street 1:2714 W KIRBY ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3300
Practice Address - Country:US
Practice Address - Phone:813-931-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services