Healthcare Provider Details

I. General information

NPI: 1366282261
Provider Name (Legal Business Name): HOPE PASA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 AYRSHIRE ST
BEAR DE
19701-4710
US

IV. Provider business mailing address

36 AYRSHIRE ST
BEAR DE
19701-4710
US

V. Phone/Fax

Practice location:
  • Phone: 443-362-0192
  • Fax:
Mailing address:
  • Phone: 443-362-0192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID FREDRICK AMAKOBE
Title or Position: CONSULTANT
Credential:
Phone: 302-252-7279