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NPI Code Detail

MEDICARE: HEARTS OF HOPE LLC

MEDICARE: HEARTS OF HOPE LLC
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1649810946
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTS OF HOPE LLC
Provider Business Mailing Address
First Line : 4352 E ANGELA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2289
Country : US
Telephone Number : 623-282-6947
Fax Number : 602-483-1670
Provider Business Practice Location Address
First Line : 4352 E ANGELA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2289
Country : US
Telephone Number : 623-282-6947
Fax Number : 602-483-1670
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH K. NJENGA
Credential :
Telephone Number : 623-282-6947
Provider Enumeration Date : 01/14/2020
Last Update Date : 01/14/2020

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Directions to “HEARTS OF HOPE LLC ” Practice Location

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