MEDICARE: HOUSE OF HOPE RESOURCE CENTER

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1861763179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF HOPE RESOURCE CENTER

Provider Business Mailing Address
First Line	:	2251 FLORIN RD
Second Line	:	SUITE 156
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-4483
Country	:	US
Telephone Number	:	916-594-7227
Fax Number	:	916-594-7228

Provider Business Practice Location Address
First Line	:	2251 FLORIN RD
Second Line	:	SUITE 156
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-4483
Country	:	US
Telephone Number	:	916-594-7227
Fax Number	:	916-594-7228

Authorized Official
Title or Position	:	FINANCE MANAGER
Name	:	DEBORAH JONES SPENCER
Credential	:
Telephone Number	:	916-807-7856

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	01/18/2012

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Directions to “HOUSE OF HOPE RESOURCE CENTER ” Practice Location

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