# HOPE LIFE AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053837112
- **Authorized official:** MR. DENNIS RICHARD ITTENBACH PT (SOLE MBR)
- **Authorized official phone:** (843) 715-4146

## Contact information

- **Practice address:** 60 MAIN ST UNIT G, HILTON HEAD ISLAND, SC 29926-6603
- **Practice address phone:** (843) 715-4146
- **Practice address fax:** (843) 715-4673
- **Mailing address:** 60 MAIN ST UNIT G, HILTON HEAD ISLAND, SC 29926-6603
- **Mailing address phone:** (843) 715-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4852 | SC | Yes |

## Other

- **Enumeration date:** 08/20/2017
- **Last updated:** 01/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548360472 | — | SC |