| Hope Community Wellness Center Corp | |
|
876 W Sugarland Hwy Unit 1c Clewiston FL 33440-2704 | |
| (863) 233-9190 | |
| (863) 599-7939 |
| Full Name | Hope Community Wellness Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 876 W Sugarland Hwy Unit 1c, Clewiston, Florida |
| Authorized Official Name and Position | Jesus Manuel Napoles Pajon (PRESIDENT) |
| Authorized Official Contact | 8632339190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Community Wellness Center Corp 876 W Sugarland Hwy Unit 1c Clewiston FL 33440-2704 Ph: (863) 233-9190 | Hope Community Wellness Center Corp 876 W Sugarland Hwy Unit 1c Clewiston FL 33440-2704 Ph: (863) 233-9190 |
| NPI Number | 1144810888 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Medicare PECOS PAC ID | 7012386345 |
|---|---|
| Medicare Enrollment ID | O20221208002269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144810888 | NPI | - | NPPES |
| Provider Name | Ike A Boka |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205944931 PECOS PAC ID: 4587846217 Enrollment ID: I20200529002027 |
| Provider Name | Mayelin Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790220911 PECOS PAC ID: 4688067648 Enrollment ID: I20220215002658 |
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