| Hope419 | |
|
1221 S Trimble Rd Bldg C Mansfield OH 44907-2200 | |
| (419) 951-2020 | |
| Not Available |
| Full Name | Hope419 |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 1221 S Trimble Rd Bldg C, Mansfield, Ohio |
| Authorized Official Name and Position | Johanna Wilson (OWNER) |
| Authorized Official Contact | 4199512020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope419 1221 S Trimble Rd Bldg C Mansfield OH 44907-2200 Ph: (419) 951-2020 | Hope419 1221 S Trimble Rd Bldg C Mansfield OH 44907-2200 Ph: (419) 951-2020 |
| NPI Number | 1750990438 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750990438 | NPI | - | NPPES |
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