| Hope Health Care, Inc. | |
|
4721 Hiawatha Ave Minneapolis MN 55406-3928 | |
| (612) 328-4819 | |
| Not Available |
| Full Name | Hope Health Care, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4721 Hiawatha Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Christiana O Greene (VP/OPERATIONS) |
| Authorized Official Contact | 6123284819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Health Care, Inc. 4721 Hiawatha Ave Minneapolis MN 55406-3928 Ph: (612) 328-4819 | Hope Health Care, Inc. 4721 Hiawatha Ave Minneapolis MN 55406-3928 Ph: (612) 328-4819 |
| NPI Number | 1770979601 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770979601 | NPI | - | NPPES |
| 1780851402 | Medicaid | MN | |
| 1760707285 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1074667 (Minnesota) | Primary |
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