Provider Demographics
NPI:1922245059
Name:HANNA'S HOUSE
Entity type:Organization
Organization Name:HANNA'S HOUSE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-278-6501
Mailing Address - Street 1:5900 S EASTERN AVE
Mailing Address - Street 2:SUITE 186
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-4017
Mailing Address - Country:US
Mailing Address - Phone:323-278-6501
Mailing Address - Fax:323-278-6515
Practice Address - Street 1:5900 S EASTERN AVE
Practice Address - Street 2:SUITE 186
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-4017
Practice Address - Country:US
Practice Address - Phone:323-278-6501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANNA'S HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-12
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
7429OtherDRUG-MEDICAL