Healthcare Provider Details

I. General information

NPI: 1982932547
Provider Name (Legal Business Name): HANDS OF HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 W UNIVERSITY BLVD
DURANT OK
74701-4577
US

IV. Provider business mailing address

4310 W UNIVERSITY BLVD
DURANT OK
74701-4577
US

V. Phone/Fax

Practice location:
  • Phone: 580-924-6358
  • Fax: 580-920-1901
Mailing address:
  • Phone: 580-924-6358
  • Fax: 580-920-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIM S COOPER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 580-924-6358