# HOPE RANCH OF MISSOURI

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

## Provider details

- **NPI number:** 1265162705
- **Authorized official:** DR. JENNIFER HOPE EDD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (636) 262-1839

## Contact information

- **Practice address:** 6850 HIGHWAY JJ, SULLIVAN, MO 63080-5401
- **Practice address phone:** (636) 649-9901
- **Mailing address:** PO BOX 963, UNION, MO 63084-0963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022