Organization
HANDS OF HOPE HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA JACKSON CRNP (ADMINISTRATOR)
(251) 287-6146
Entity
Organization
Contact information
Practice address
4625 MOFFETT RD., MOBILE, AL 36618
(251) 287-6146
(251) 287-6154
Mailing address
4625 MOFFETT RD., MOBILE, AL 36618
(251) 287-6146
(251) 287-6154
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059384
ALABAMA LICENSE
AL
01
—
1306875828
INDIVIDUAL NPI
AL
05
—
135146
—
AL
05
—
135152
—
AL
01
—
51123471
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
12/19/2011
Last updated
10/06/2023
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