Healthcare Provider Details

I. General information

NPI: 1578862546
Provider Name (Legal Business Name): HELPING HANDS PREVENTITIVE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 MULBERRY ST
MONTGOMERY AL
36106
US

IV. Provider business mailing address

PO BOX 758
FORT DEPOSIT AL
36032-0758
US

V. Phone/Fax

Practice location:
  • Phone: 334-210-0532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA HOLLOWAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 334-210-0532