| House Of Hope Assisted Living Llc | |
|
2129 Summertime Dr Apt 2609 Charlotte NC 28262-5626 | |
| (704) 615-2653 | |
| Not Available |
| Full Name | House Of Hope Assisted Living Llc |
|---|---|
| Speciality | Assisted Living Facility - Assisted Living, Mental Illness |
| Location | 2129 Summertime Dr Apt 2609, Charlotte, North Carolina |
| Authorized Official Name and Position | Antwon Freeman (OWNER) |
| Authorized Official Contact | 7046152653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Hope Assisted Living Llc 2129 Summertime Dr Apt 2609 Charlotte NC 28262-5626 Ph: (704) 615-2653 | House Of Hope Assisted Living Llc 2129 Summertime Dr Apt 2609 Charlotte NC 28262-5626 Ph: (704) 615-2653 |
| NPI Number | 1043818420 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043818420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 3104A0625X | Assisted Living Facility - Assisted Living, Mental Illness | (* (Not Available)) | Primary |
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