Organization
HOPE YOUTH RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE JESUS SUAREZ (EXECUTIVE DIRECTOR)
(727) 232-0119
Entity
Organization
Contact information
Practice address
17933 EAST RD, HUDSON, FL 34667-6074
(727) 232-0119
(727) 233-0628
Mailing address
17933 EAST RD, HUDSON, FL 34667-6074
(727) 232-0119
(727) 233-0628
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100000529
FL
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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