Organization
HOPE THE HABAKKUK FOUNDATION
Active
Parent organization
HOPE THE HABAKKUK FOUNDATION
Other names
HOPE Respite Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPE THE HABAKKUK FOUNDATION
Authorized official
MRS. MONICA A DONNELL (OWNER/ADMINISTRATOR)
(336) 988-8484
Entity
Organization
Contact information
Practice address
382 GAMMON RD, PROVIDENCE, NC 27315-9631
(336) 988-8484
Mailing address
382 GAMMON RD, PROVIDENCE, NC 27315-9631
(336) 988-8484
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NC
Enumeration date
04/29/2008
Last updated
06/17/2008
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