Healthcare Provider Details
I. General information
NPI: 1568771046
Provider Name (Legal Business Name): HOLDING HANDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2010
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2101 N. GLENOAKS BLVD.
BURBANK CA
91504
US
IV. Provider business mailing address
2115 BEVERLY BLVD.
LOS ANGELES CA
90057
US
V. Phone/Fax
- Phone: 818-848-8825
- Fax: 818-848-8886
- Phone: 323-938-3434
- Fax: 213-201-0451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZIBA
NASSAB
Title or Position: CEO
Credential:
Phone: 323-938-3434