Healthcare Provider Details
I. General information
NPI: 1669506275
Provider Name (Legal Business Name): CENTER FOR HOPE AND HEALING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8398 KINSMAN RD
NOVELTY OH
44072-9577
US
IV. Provider business mailing address
8398 KINSMAN RD PO BOX 512
NOVELTY OH
44072-9577
US
V. Phone/Fax
- Phone: 440-338-6344
- Fax: 440-338-6355
- Phone: 440-338-6344
- Fax: 440-338-6355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35059953 |
| License Number State | OH |
VIII. Authorized Official
Name:
DOROTHY
S
SPRECHER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 440-338-6344