Healthcare Provider Details

I. General information

NPI: 1730378209
Provider Name (Legal Business Name): HOPE HUMANITY HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5163 MCDONALD RD
THEODORE AL
36582-9675
US

IV. Provider business mailing address

5163 MCDONALD RD
THEODORE AL
36582-9675
US

V. Phone/Fax

Practice location:
  • Phone: 251-605-5314
  • Fax: 251-665-1335
Mailing address:
  • Phone: 251-605-5314
  • Fax: 251-665-1335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateAL

VIII. Authorized Official

Name: MRS. JULIE W. VEAL
Title or Position: PRESIDENT
Credential: PROVIDER
Phone: 251-605-5314