Provider Demographics
NPI:1992825210
Name:HARBORLIGHT COMMUNITY PARTNERS
Entity Type:Organization
Organization Name:HARBORLIGHT COMMUNITY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEFRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-922-9775
Mailing Address - Street 1:221 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5718
Mailing Address - Country:US
Mailing Address - Phone:978-922-9775
Mailing Address - Fax:978-922-2874
Practice Address - Street 1:1 MONUMENT SQ
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4539
Practice Address - Country:US
Practice Address - Phone:978-922-9775
Practice Address - Fax:978-922-2874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health