Organization
HOPE YOUTH RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE JESUS SUAREZ (EXECUTIVE DIRECTOR)
(727) 232-0119
Entity
Organization
Contact information
Practice address
17933 EAST RD, HUDSON, FL 34667-6074
(727) 232-0119
(727) 233-0628
Mailing address
17933 EAST RD, HUDSON, FL 34667-6074
(727) 232-0119
(727) 233-0628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
04/24/2025
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