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Find providers by NPI
Organization

JOHN TICE INC.

Active
Parent organization
HOUSE OF HOPE
Other names
HOUSE OF HOPE
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOUSE OF HOPE
Authorized official
MR. JOHN JOHN (PRESIDENT)
(321) 723-0720
Entity
Organization

Contact information

Practice address
67 STEPHENSON DR, WEST MELBOURNE, FL 32904-4918
(321) 723-0720
Mailing address
67 STEPHENSON DR, WEST MELBOURNE, FL 32904-4918

Taxonomy

Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
T200466522150
FL

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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