| New Hope, Llc | |
|
527 W Macclenny Ave Macclenny FL 32063-2037 | |
| (904) 704-2527 | |
| (866) 366-3884 |
| Full Name | New Hope, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 527 W Macclenny Ave, Macclenny, Florida |
| Authorized Official Name and Position | Tracy Riley (PRESIDENT/OWNER) |
| Authorized Official Contact | 9047042527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope, Llc 527 W Macclenny Ave Macclenny FL 32063-2037 Ph: (904) 704-2527 | New Hope, Llc 527 W Macclenny Ave Macclenny FL 32063-2037 Ph: (904) 704-2527 |
| NPI Number | 1629377080 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629377080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9355 (Florida) | Primary |
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