Healthcare Provider Details

I. General information

NPI: 1982935227
Provider Name (Legal Business Name): HOPE HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 WHITEHEAD RD OFC
GWYNN OAK MD
21207-4003
US

IV. Provider business mailing address

6707 WHITESTONE RD SUITE 106
WOODLAWN MD
21207-4106
US

V. Phone/Fax

Practice location:
  • Phone: 410-265-8737
  • Fax: 410-265-1258
Mailing address:
  • Phone: 410-265-1258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. OLANRELE OLADIPO FADIORA JR.
Title or Position: ACCOUNT EXECUTIVE
Credential:
Phone: 443-865-7549