Healthcare Provider Details
I. General information
NPI: 1891525796
Provider Name (Legal Business Name): HOPE FOR WOMEN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1318 DILL ST
NEWPORT AR
72112-4122
US
IV. Provider business mailing address
1318 DILL ST
NEWPORT AR
72112-4122
US
V. Phone/Fax
- Phone: 870-479-3001
- Fax:
- Phone: 870-479-3001
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253J00000X |
| Taxonomy | Foster Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
BETTY
WHITAKER
Title or Position: CEO
Credential: FOSTER PARENT
Phone: 870-251-6904