# HEAVEN'S HOPE LLC

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

## Provider details

- **NPI number:** 1932706603
- **Authorized official:** KAREN ANTOINETTE JOHNSON APRN (CO-OWNER)
- **Authorized official phone:** (573) 528-6527

## Contact information

- **Practice address:** 25300 RIO ROAD, RICHLAND, MO 65556
- **Practice address phone:** (573) 528-6527
- **Mailing address:** 19642 LONGVIEW RD, WAYNESVILLE, MO 65583-3542
- **Mailing address phone:** (573) 528-6527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 10/06/2020