Healthcare Provider Details

I. General information

NPI: 1831216910
Provider Name (Legal Business Name): HOME OF HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 W HOPE AVE
VINITA OK
74301-0903
US

IV. Provider business mailing address

PO BOX 903
VINITA OK
74301-0903
US

V. Phone/Fax

Practice location:
  • Phone: 918-256-7825
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateOK

VIII. Authorized Official

Name: MR. DAVID SVEDMAN
Title or Position: CEO
Credential:
Phone: 918-256-7825