Provider Demographics
NPI:1447746862
Name:PROJECT H.O.P.E., INC.
Entity Type:Organization
Organization Name:PROJECT H.O.P.E., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DORCAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAGERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-541-6092
Mailing Address - Street 1:519-525 WEST STREET
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-3529
Mailing Address - Country:US
Mailing Address - Phone:856-541-6092
Mailing Address - Fax:856-541-6097
Practice Address - Street 1:1494 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-1753
Practice Address - Country:US
Practice Address - Phone:856-968-2320
Practice Address - Fax:856-968-2317
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROJECT H.O.P.E., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)