Provider Demographics
NPI:1144594409
Name:VISION OF HOPE
Entity Type:Organization
Organization Name:VISION OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LILLLIE
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-613-9532
Mailing Address - Street 1:123 FAWN RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-8133
Mailing Address - Country:US
Mailing Address - Phone:336-613-9532
Mailing Address - Fax:
Practice Address - Street 1:906 SHARPE AVE
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-3728
Practice Address - Country:US
Practice Address - Phone:336-635-0184
Practice Address - Fax:336-635-0184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities