Organization
HOPE FOR LIFE LLC
Active
Organization
HOPE FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GUNNERSON PHD (OWNER)
(801) 651-7270
Entity
Organization
Contact information
Practice address
132 RALEIGH CT, STATESBORO, GA 30458-0160
(912) 225-6920
Mailing address
PO BOX 2405, STATESBORO, GA 30459-2405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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