Provider Demographics
NPI:1427284686
Name:K2 HELPING HANDS
Entity type:Organization
Organization Name:K2 HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWNICE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WAIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-692-8737
Mailing Address - Street 1:21645 OLIVIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAUK VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60411-4426
Mailing Address - Country:US
Mailing Address - Phone:708-692-8737
Mailing Address - Fax:708-367-9930
Practice Address - Street 1:21645 OLIVIA AVE
Practice Address - Street 2:
Practice Address - City:SAUK VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60411-4426
Practice Address - Country:US
Practice Address - Phone:708-692-8737
Practice Address - Fax:708-367-9930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency