Healthcare Provider Details

I. General information

NPI: 1467807065
Provider Name (Legal Business Name): HOUSE OF HOPE COMMUNITY DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 POST RD
WARWICK RI
02886-7175
US

IV. Provider business mailing address

PO BOX 6130
WARWICK RI
02887-6130
US

V. Phone/Fax

Practice location:
  • Phone: 401-463-3324
  • Fax:
Mailing address:
  • Phone: 401-463-3324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JEAN JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-463-3324