# KEEP HOPE ALIVE, LLC.

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

## Provider details

- **NPI number:** 1376689117
- **Authorized official:** MRS. MONICA D. WALLACE (DIRECTOR)
- **Authorized official phone:** (252) 353-8003

## Contact information

- **Practice address:** 3219 LANDMARK ST, SUITE 6, GREENVILLE, NC 27834-7688
- **Practice address phone:** (252) 353-8003
- **Mailing address:** PO BOX 30557, GREENVILLE, NC 27833-0557
- **Mailing address phone:** (252) 353-8003
- **Mailing address fax:** (252) 353-9912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-074-139 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-074-140 | NC | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 12/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3409645 | — | NC |
| 05 | — | 6603981 | — | NC |
| 05 | — | 6603982 | — | NC |
| 05 | — | 8301166B | — | NC |