Provider Demographics
NPI:1861881237
Name:HARLEY'S HANDYMAN SERVICES
Entity type:Organization
Organization Name:HARLEY'S HANDYMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-577-7896
Mailing Address - Street 1:77 WHITTLESEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-1450
Mailing Address - Country:US
Mailing Address - Phone:419-577-7896
Mailing Address - Fax:567-424-6783
Practice Address - Street 1:77 WHITTLESEY AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-1450
Practice Address - Country:US
Practice Address - Phone:419-577-7896
Practice Address - Fax:567-424-6783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3156614Medicaid