| Hope Intensive In Home Services | |
|
17 Hollyhill Dr Petersburg VA 23805-2559 | |
| (804) 863-2071 | |
| (804) 863-2073 |
| Full Name | Hope Intensive In Home Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Hollyhill Dr, Petersburg, Virginia |
| Authorized Official Name and Position | Marilyn Coleman Newby (OWNER) |
| Authorized Official Contact | 8049913491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Intensive In Home Services 18799 Loving Union Rd Disputanta VA 23842-7038 Ph: (804) 991-3491 | Hope Intensive In Home Services 17 Hollyhill Dr Petersburg VA 23805-2559 Ph: (804) 863-2071 |
| NPI Number | 1720244106 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720244106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 40005001 (Virginia) | Primary |
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