Provider Demographics
NPI:1730330218
Name:H.E.L.P LLC RESIDENTIAL AGENCY
Entity type:Organization
Organization Name:H.E.L.P LLC RESIDENTIAL AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-239-4092
Mailing Address - Street 1:6211 S PEARL DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-4591
Mailing Address - Country:US
Mailing Address - Phone:480-239-4092
Mailing Address - Fax:480-248-6912
Practice Address - Street 1:1216 E JULIAN DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1757
Practice Address - Country:US
Practice Address - Phone:480-656-0379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3191251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health