Provider Demographics
NPI:1306141957
Name:HELPING HANDS CENTER FOR SPECIAL NEEDS
Entity type:Organization
Organization Name:HELPING HANDS CENTER FOR SPECIAL NEEDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:WITTKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-456-0772
Mailing Address - Street 1:405 W WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-2121
Mailing Address - Country:US
Mailing Address - Phone:260-422-3717
Mailing Address - Fax:260-918-6649
Practice Address - Street 1:405 W WAYNE ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-2121
Practice Address - Country:US
Practice Address - Phone:260-422-3717
Practice Address - Fax:260-918-6649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities