Provider Demographics
NPI:1053797274
Name:HANDS ON CENTRAL FLORIDA, INC.
Entity type:Organization
Organization Name:HANDS ON CENTRAL FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:GENISE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:407-270-6685
Mailing Address - Street 1:750 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-3118
Mailing Address - Country:US
Mailing Address - Phone:407-270-6685
Mailing Address - Fax:407-270-6686
Practice Address - Street 1:750 S ORANGE BLOSSOM TRL
Practice Address - Street 2:SUITE 260
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3118
Practice Address - Country:US
Practice Address - Phone:407-270-6685
Practice Address - Fax:407-270-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL013630400251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013630400Medicaid