Provider Demographics
NPI:1275848384
Name:HOUSE OF HOPE INC
Entity Type:Organization
Organization Name:HOUSE OF HOPE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PILKINTON
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, LCSW
Authorized Official - Phone:918-786-2930
Mailing Address - Street 1:PO BOX 451585
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74345-1585
Mailing Address - Country:US
Mailing Address - Phone:918-786-2930
Mailing Address - Fax:918-786-5985
Practice Address - Street 1:32300 S 625 RD
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74345-1585
Practice Address - Country:US
Practice Address - Phone:918-786-2930
Practice Address - Fax:918-786-5985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK314324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility