Organization
HOPE VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED CARL ST. JOHN (CEO)
(330) 850-5141
Entity
Organization
Contact information
Practice address
3975 KENNETH DR, ROOTSTOWN, OH 44272-9252
(330) 850-5141
(330) 850-5349
Mailing address
3975 KENNETH DR, ROOTSTOWN, OH 44272-9252
(330) 850-5141
(330) 850-5349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324390
—
OH
Enumeration date
05/29/2019
Last updated
05/29/2019
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