Hope Restored Services | |
214 E Washington St Suite A Minneola FL 34715 | |
(407) 374-3215 | |
Not Available |
Full Name | Hope Restored Services |
---|---|
Speciality | Social Worker |
Location | 214 E Washington St, Minneola, Florida |
Authorized Official Name and Position | Tonya Rowe (OFFICER) |
Authorized Official Contact | 4073743215 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hope Restored Services 15906 Wilkinson Dr Clermont FL 34714-7072 Ph: (631) 664-5811 | Hope Restored Services 214 E Washington St Suite A Minneola FL 34715 Ph: (407) 374-3215 |
NPI Number | 1982120226 |
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Provider Enumeration Date | 08/18/2017 |
Last Update Date | 04/13/2019 |
Medicare PECOS PAC ID | 9133468325 |
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Medicare Enrollment ID | O20190306000672 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982120226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW12515 (Florida) | Primary |
Provider Name | Tonya Rowe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689931545 PECOS PAC ID: 4486993672 Enrollment ID: I20190306000819 |
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