Organization
NEW HOPE RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL CASSANDRA BYRD QUALIFIED PROFESSION (CHIEF EXECUTIVE OFFICER)
(910) 229-1473
Entity
Organization
Contact information
Practice address
3222 GLENMORE DR, HOPE MILLS, NC 28348-1701
(910) 426-1228
(910) 488-1109
Mailing address
1624 WOODFIELD RD, FAYETTEVILLE, NC 28303-3845
(910) 229-1473
(910) 229-1473
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL026747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603426
—
NC
Enumeration date
03/05/2007
Last updated
10/30/2007
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