Healthcare Provider Details

I. General information

NPI: 1245399526
Provider Name (Legal Business Name): NEW HOPE FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 HEXLENA RD
AULANDER NC
27805-9431
US

IV. Provider business mailing address

PO BOX 339
AULANDER NC
27805-0339
US

V. Phone/Fax

Practice location:
  • Phone: 252-345-3663
  • Fax: 252-345-3665
Mailing address:
  • Phone: 252-345-3663
  • Fax: 252-345-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberHC2300
License Number StateNC

VIII. Authorized Official

Name: MRS. VERNESTINE SPELLER MELTON
Title or Position: OWNER
Credential:
Phone: 252-345-3663