Individual
HOPE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 WILLIS ST UNIT 46616, BEDFORD, OH 44146-9528
(216) 394-6699
Mailing address
89 WILLIS ST UNIT 46616, BEDFORD, OH 44146-9528
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
01/26/2024
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