Provider Demographics
NPI:1114225554
Name:LEND A HELPING HAND, INC #2
Entity type:Organization
Organization Name:LEND A HELPING HAND, INC #2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUBORIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PETERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-669-4181
Mailing Address - Street 1:304 RILEY ST
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-5765
Mailing Address - Country:US
Mailing Address - Phone:919-669-4181
Mailing Address - Fax:919-552-3610
Practice Address - Street 1:304 RILEY ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-5765
Practice Address - Country:US
Practice Address - Phone:919-669-4181
Practice Address - Fax:919-552-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-047-138320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities