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Organization
HEAVEN'S HOPE LLC
Active
Organization
HEAVEN'S HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANTOINETTE JOHNSON APRN (CO-OWNER)
(573) 528-6527
Entity
Organization
Contact information
Practice address
25300 RIO ROAD, RICHLAND, MO 65556
(573) 528-6527
Mailing address
19642 LONGVIEW RD, WAYNESVILLE, MO 65583-3542
(573) 528-6527
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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