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General NPI Number Information
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NPI Number | 1427861202
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Entity Type | Organization
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Legal Business Name | HOUSE OF HOPE II
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1960 CHANNEL ST
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City | GRAHAM
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State | NC
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Zip | 27253-7722
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Country | US
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Telephone | 336-534-5410
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Fax | 336-652-8023
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | MEBANE
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State | NC
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Zip | 27302-0002
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Country | US
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Telephone | 336-534-5410
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Fax | 336-652-8023
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Authorized Official
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Title or Position | DIRECTOR
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Name | GWENDOLYN MINOR
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Credential |
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Telephone | 336-534-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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