Organization
HOPE RESIDENTIAL SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHADRACK MUSHID (CEO)
(207) 400-6491
Entity
Organization
Contact information
Practice address
50 W BROADWAY, SALT LAKE CITY, UT 84101-2020
(207) 400-6495
Mailing address
50 W BROADWAY, SALT LAKE CITY, UT 84101-2020
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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