Organization
HOPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME PRITCHARD STEVENSON SR. DMIN (PRESIDENT)
(937) 268-2663
Entity
Organization
Contact information
Practice address
4641 HOOVER AVE, DAYTON, OH 45417-1121
(937) 268-2663
(937) 268-2219
Mailing address
4641 HOOVER AVE, DAYTON, OH 45417-1121
(937) 268-2663
(937) 268-2219
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
L90474
MI
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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