MEDICARE: A NEW HOPE DEVELOPMENT PROGRAM 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
1	251C00000X	Developmentally Disabled Services Day Training Agency		TX

General Provider Information

NPI Number	:	1477876027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW HOPE DEVELOPMENT PROGRAM INC.

Provider Business Mailing Address
First Line	:	3602 PARKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1508
Country	:	US
Telephone Number	:	832-603-2535
Fax Number	:	713-748-0487

Provider Business Practice Location Address
First Line	:	3602 PARKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1508
Country	:	US
Telephone Number	:	832-603-2535
Fax Number	:	713-748-0487

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DR. DAISY WALKER
Credential	:
Telephone Number	:	832-603-2535

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	10/25/2010

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