Organization
HOPE FOUNTAINS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MAKOKO RUSHIMISHA (CHIEF EXECUTIVE DIRECTOR)
(207) 409-2088
Entity
Organization
Contact information
Practice address
18 QUINCY ST, CONCORD, NH 03301-5341
(207) 409-2088
Mailing address
PO BOX 4073, CONCORD, NH 03302-4073
(207) 409-2088
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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