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General NPI Number Information
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NPI Number | 1699987347
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Entity Type | Organization
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Legal Business Name | ARRAY OF HOPE SPECIALTY CARE, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11OXFORD COURT
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City | SAVANNAH
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State | GA
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Zip | 31419
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Country | US
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Telephone | 912-927-3892
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Fax | 912-353-9704
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Provider Business Mailing Address
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Address Line | 116 OGLETHORPE PRO. CT.
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City | SAVANNAH
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State | GA
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Zip | 31405
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Country | US
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Telephone | 912-353-9885
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Fax | 912-353-9704
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Authorized Official
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Title or Position | CEO
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Name | MRS. BARBARA G. HINA
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Credential | BS, MC
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Telephone | 912-353-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 025R0030
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License Number State | GA
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