Provider Demographics
NPI:1093413635
Name:FULL HOPE RISK ASSESSMENT HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:FULL HOPE RISK ASSESSMENT HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:NGALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-512-0726
Mailing Address - Street 1:4030 BLACKBURN LN
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4030 BLACKBURN LN
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1168
Practice Address - Country:US
Practice Address - Phone:240-722-6733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management