Healthcare Provider Details

I. General information

NPI: 1962774083
Provider Name (Legal Business Name): HELPING HANDS COMPUTER OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2012
Last Update Date: 02/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 LAKE ROCKAWAY RD NW
CONYERS GA
30012-3152
US

IV. Provider business mailing address

4080 FOREST VIEW DR SE
CONYERS GA
30094-4168
US

V. Phone/Fax

Practice location:
  • Phone: 770-860-9545
  • Fax:
Mailing address:
  • Phone: 770-860-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1000X
TaxonomyMigrant Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TOLBERT MORRIS
Title or Position: FOUNDER/CEO
Credential:
Phone: 770-860-9545