=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891038329
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARC INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2013
-----------------------------------------------------
Last Update Date | 04/03/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 ASYLUM AVE MAIL STOP #1017
-----------------------------------------------------
City | HARTFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06105-1901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-218-6011
-----------------------------------------------------
Fax | 860-244-0264
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 900 ASYLUM AVE MAIL STOP #1017
-----------------------------------------------------
City | HARTFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06105-1901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-218-6011
-----------------------------------------------------
Fax | 860-244-0264
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF ACCOUNTING SERVICES
-----------------------------------------------------
Name | MS. ANGELA M BEEBE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 860-218-6011
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------