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NPI Code Detail

MEDICARE: HOPE FAMILY PARTNERS LLC

MEDICARE: HOPE FAMILY PARTNERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1700407665
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE FAMILY PARTNERS LLC
Provider Business Mailing Address
First Line : PO BOX 2415
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04116-2415
Country : US
Telephone Number : 207-518-1901
Fax Number :
Provider Business Practice Location Address
First Line : 1350 FOREST AVE APT 16
Second Line :
City : PORTLAND
State : ME
Zip : 04103-1815
Country : US
Telephone Number : 207-518-1901
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. STEVE BIJOGA
Credential : DSP
Telephone Number : 207-518-1901
Provider Enumeration Date : 05/01/2020
Last Update Date : 05/01/2020

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Directions to “HOPE FAMILY PARTNERS LLC ” Practice Location

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