Healthcare Provider Details

I. General information

NPI: 1699987347
Provider Name (Legal Business Name): ARRAY OF HOPE SPECIALTY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11OXFORD COURT
SAVANNAH GA
31419
US

IV. Provider business mailing address

116 OGLETHORPE PRO. CT.
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-927-3892
  • Fax: 912-353-9704
Mailing address:
  • Phone: 912-353-9885
  • Fax: 912-353-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number025R0030
License Number StateGA

VIII. Authorized Official

Name: MRS. BARBARA G. HINA
Title or Position: CEO
Credential: BS, MC
Phone: 912-353-9885