| Hope Youth Ranch, Inc. | |
|
17933 East Rd Hudson FL 34667-6074 | |
| (727) 232-0119 | |
| (727) 233-0628 |
| Full Name | Hope Youth Ranch, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17933 East Rd, Hudson, Florida |
| Authorized Official Name and Position | Jose Jesus Suarez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7272320119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Youth Ranch, Inc. 17933 East Rd Hudson FL 34667-6074 Ph: (727) 232-0119 | Hope Youth Ranch, Inc. 17933 East Rd Hudson FL 34667-6074 Ph: (727) 232-0119 |
| NPI Number | 1578718680 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578718680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0808-103 (Florida) | Primary |
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