# HIDDEN OAKS ALF, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HIDDEN OAKS ALF, INC
- **Other names:** H.O.P.E.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043893704
- **Legal business name:** HIDDEN OAKS ALF, INC
- **Authorized official:** MS. WANDA M LAW MASTERS OF EDUCATION (OWNER)
- **Authorized official phone:** (386) 938-2097

## Contact information

- **Practice address:** 7150 NW 22ND DR, JENNINGS, FL 32053-2367
- **Practice address phone:** (386) 938-2097
- **Practice address fax:** (386) 487-0366
- **Mailing address:** PO BOX 180, JENNINGS, FL 32053-0180
- **Mailing address phone:** (386) 938-2097
- **Mailing address fax:** (386) 487-0366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 05/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104310300 | — | FL |