| Watering Hope, Llc | |
|
53 Little Knoll Dr Hanover PA 17331-9281 | |
| (301) 467-2890 | |
| Not Available |
| Full Name | Watering Hope, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 53 Little Knoll Dr, Hanover, Pennsylvania |
| Authorized Official Name and Position | Marissa A Neal (CEO) |
| Authorized Official Contact | 4106354390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watering Hope, Llc 1418 Baltimore St Suite 12, Box 131 Hanover PA 17331 Ph: (410) 635-4390 | Watering Hope, Llc 53 Little Knoll Dr Hanover PA 17331-9281 Ph: (301) 467-2890 |
| NPI Number | 1710682323 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 4688031784 |
|---|---|
| Medicare Enrollment ID | O20230606000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710682323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marissa Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396353801 PECOS PAC ID: 0749604460 Enrollment ID: I20230606000419 |
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