Provider Demographics
NPI:1346919834
Name:CIRCLE OF HOPE SERVICES LLC
Entity Type:Organization
Organization Name:CIRCLE OF HOPE SERVICES LLC
Other - Org Name:CIRCLE OF HOPE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:302-588-5841
Mailing Address - Street 1:210 ANN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-2606
Mailing Address - Country:US
Mailing Address - Phone:302-588-5841
Mailing Address - Fax:
Practice Address - Street 1:210 ANN DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-2606
Practice Address - Country:US
Practice Address - Phone:302-588-5841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty