Organization
GRACEFUL HOPE COMMUNITY OUTREACH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BIGGS BULLOCK (PROJECT MANAGER/OWNER)
(877) 573-8839
Entity
Organization
Contact information
Practice address
1101 E SYDNEY ST, B21, PHILADELPHIA, PA 19150-3801
(187) 757-3883
Mailing address
1101 E SYDNEY ST, B21, PHILADELPHIA, PA 19150-3801
(187) 757-3883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
PA
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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