Organization
AVENUES OF HOPE- CHAPTER 3800
Active
Organization
AVENUES OF HOPE- CHAPTER 3800
Active
Parent organization
1194267914
Other names
Avenues of Hope- chapter 3800
Organization subpart
Yes
Provider details
NPI number
Legal business name
1194267914
Authorized official
NELLY KABIRU (CEO)
(484) 560-6600
Entity
Organization
Contact information
Practice address
4949 LIBERTY LN STE 350, ALLENTOWN, PA 18106-9018
(484) 560-6600
Mailing address
4949 LIBERTY LN STE 350, ALLENTOWN, PA 18106-9018
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103226381
—
PA
Enumeration date
01/02/2018
Last updated
06/11/2019
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