Organization Name: | HOPE EXTENDED CARE SERVICES INC |
NPI Number: | 1558781294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L GARDNER (CEO) |
Mailing Address: | 202 W Neshannock Ave New Wilmington |
State: | PA US |
Postal Code: | 161421115 |
Phone Number: | 7249010003 |
Fax Number: | 7249462156 |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD426144 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |