Organization
MICHIGAN CITY HOUSE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO RUPERT (PRESIDENT/OWNER)
(219) 229-4757
Entity
Organization
Contact information
Practice address
1101 WILLARD AVE, MICHIGAN CITY, IN 46360-3912
(219) 229-4757
Mailing address
509 WILLARD AVE, MICHIGAN CITY, IN 46360-3957
(219) 229-4757
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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