# HATHOR INC

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

## Provider details

- **NPI number:** 1972483964
- **Authorized official:** TOLULOPE IDRIS (AGENCY ADMINISTRATOR)
- **Authorized official phone:** (919) 397-5242

## Contact information

- **Practice address:** 69 MONTHAVEN DR, ST AUGUSTINE, FL 32092-3361
- **Practice address phone:** (919) 397-5242
- **Mailing address:** 69 MONTHAVEN DR, ST AUGUSTINE, FL 32092-3361
- **Mailing address phone:** (919) 397-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025