Organization Name: | HOPE HAVEN, LTD |
NPI Number: | 1124492459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN ANTHONY MARINICK (PRESIDENT OF THE GENERAL PARTNER) |
Mailing Address: | 500 W 23rd St Hope |
State: | AR US |
Postal Code: | 718018129 |
Phone Number: | 8707778655 |
Fax Number: | 8707775339 |
NPI Enumeration Date: | 11/24/2015 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |