Organization
HELP IS ON THE WAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL RANARD COOPER (CHIEF FINANCIAL OFFICER)
(863) 682-6374
Entity
Organization
Contact information
Practice address
721 GILMORE AVENUE, LAKELAND, FL 33801
(863) 682-6374
(775) 361-2175
Mailing address
721 GILMORE AVENUE, LAKELAND, FL 33801
(863) 682-6374
(775) 361-2175
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
14GH01134
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
14GH01134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692809996
—
FL
05
—
692809998
—
FL
Enumeration date
06/09/2008
Last updated
06/09/2008
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