| Hope 4 You, Llc | |
|
5211 Auth Rd Suitland MD 20746-4339 | |
| (202) 257-6632 | |
| Not Available |
| Full Name | Hope 4 You, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5211 Auth Rd, Suitland, Maryland |
| Authorized Official Name and Position | Bruce Tisdale (OWNER) |
| Authorized Official Contact | 2022576632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope 4 You, Llc 2116 Catherine Fran Dr Accokeek MD 20607-3216 Ph: (202) 257-6632 | Hope 4 You, Llc 5211 Auth Rd Suitland MD 20746-4339 Ph: (202) 257-6632 |
| NPI Number | 1679948053 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 3870892730 |
|---|---|
| Medicare Enrollment ID | O20160427000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679948053 | NPI | - | NPPES |
| 0394467 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bruce B Tisdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588816490 PECOS PAC ID: 7315104965 Enrollment ID: I20120209000108 |
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