Provider Demographics
NPI:1477323046
Name:OPTIMIST HOPE CHILDRENS CENTER INC
Entity Type:Organization
Organization Name:OPTIMIST HOPE CHILDRENS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:MURSAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-552-8738
Mailing Address - Street 1:2109 NICOLLET AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3279
Mailing Address - Country:US
Mailing Address - Phone:978-552-8738
Mailing Address - Fax:
Practice Address - Street 1:2109 NICOLLET AVE STE 105
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3279
Practice Address - Country:US
Practice Address - Phone:978-552-8738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services