Organization
HELPING US BE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL MALCOLM MYERS (OWNER)
(609) 903-7113
Entity
Organization
Contact information
Practice address
1 HAWTHORNE CT, MAPLE SHADE, NJ 08052-1907
(609) 903-7113
Mailing address
1 HAWTHORNE CT, MAPLE SHADE, NJ 08052-1907
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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