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NPI Code Detail

MEDICARE: HOPELIGHT COMMUNITY CENTER INC

MEDICARE: HOPELIGHT COMMUNITY CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1346174232
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPELIGHT COMMUNITY CENTER INC
Provider Business Mailing Address
First Line : 5850 NOTTELY CV
Second Line :
City : CUMMING
State : GA
Zip : 30040-9774
Country : US
Telephone Number : 678-343-5112
Fax Number :
Provider Business Practice Location Address
First Line : 5850 NOTTELY CV
Second Line :
City : CUMMING
State : GA
Zip : 30040-9774
Country : US
Telephone Number : 678-343-5112
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : SEIDA K SHAKHBAZOVA
Credential :
Telephone Number : 678-343-5112
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “HOPELIGHT COMMUNITY CENTER INC ” Practice Location

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