Organization
HIDDEN OAKS ALF, INC
Active
Parent organization
HIDDEN OAKS ALF, INC
Other names
H.O.P.E.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIDDEN OAKS ALF, INC
Authorized official
MS. WANDA M LAW MASTERS OF EDUCATION (OWNER)
(386) 938-2097
Entity
Organization
Contact information
Practice address
7150 NW 22ND DR, JENNINGS, FL 32053-2367
(386) 938-2097
(386) 487-0366
Mailing address
PO BOX 180, JENNINGS, FL 32053-0180
(386) 938-2097
(386) 487-0366
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104310300
—
FL
Enumeration date
04/30/2021
Last updated
05/04/2021
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