Organization
GOOD HOPE RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD FRANCIS GATHUNGU (CEO)
(602) 413-5177
Entity
Organization
Contact information
Practice address
5636 W HIDALGO AVE, LAVEEN, AZ 85339-5156
(480) 636-9541
Mailing address
1320 W ANGUS RD, SAN TAN VALLEY, AZ 85143-5108
(602) 413-5177
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH7519
—
AZ
Enumeration date
03/28/2022
Last updated
03/28/2022
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