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NPI Code Detail

MEDICARE: SOROPTIMIST HOUSE OF HOPE, INC

MEDICARE: SOROPTIMIST HOUSE OF HOPE, 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
1324500000XSubstance Abuse Rehabilitation Facility330016ANCA

General Provider Information

NPI Number : 1710277694
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOROPTIMIST HOUSE OF HOPE, INC
Provider Business Mailing Address
First Line : 13525 CIELO AZUL WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6235
Country : US
Telephone Number : 760-329-4673
Fax Number : 760-329-7311
Provider Business Practice Location Address
First Line : 13525 CIELO AZUL WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6235
Country : US
Telephone Number : 760-329-4673
Fax Number : 760-329-7311
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. CYNTHIA ANN GRAY
Credential : CAS
Telephone Number : 951-849-9491
Provider Enumeration Date : 04/13/2011
Last Update Date : 04/13/2011

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Directions to “SOROPTIMIST HOUSE OF HOPE, INC ” Practice Location

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