Provider Demographics
NPI:1215110739
Name:DOVE HOUSE OF HELPING HANDS
Entity type:Organization
Organization Name:DOVE HOUSE OF HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:DOVE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:919-791-8457
Mailing Address - Street 1:2721 HINSON DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3353
Mailing Address - Country:US
Mailing Address - Phone:919-220-0152
Mailing Address - Fax:
Practice Address - Street 1:2721 HINSON DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3353
Practice Address - Country:US
Practice Address - Phone:919-220-0152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-032-416320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities