Healthcare Provider Details

I. General information

NPI: 1497831002
Provider Name (Legal Business Name): HOPE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 LINCOLN AVE
RUMFORD ME
04276-1844
US

IV. Provider business mailing address

85 LINCOLN AVE
RUMFORD ME
04276-1844
US

V. Phone/Fax

Practice location:
  • Phone: 207-364-4561
  • Fax:
Mailing address:
  • Phone: 207-364-4561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateME

VIII. Authorized Official

Name: VETO GACCETTA
Title or Position: BOARD PRESIDENT
Credential:
Phone: 207-364-4561