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Organization

HOPE SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELLA NICKERSON (DIRECTOR)
(936) 870-5164
Entity
Organization

Contact information

Practice address
16972 W DOUNREAY, MONTGOMERY, TX 77316-2995
(936) 870-5164
(936) 588-0428
Mailing address
16972 W DOUNREAY, MONTGOMERY, TX 77316-2995
(936) 870-5164
(936) 588-0428

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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