Provider Demographics
NPI:1578205779
Name:HALL, HOPE LOUISE
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:LOUISE
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 12TH ST NW LOT E
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615-9406
Mailing Address - Country:US
Mailing Address - Phone:133-077-1717
Mailing Address - Fax:
Practice Address - Street 1:120 12TH ST NW LOT E
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615-9406
Practice Address - Country:US
Practice Address - Phone:133-077-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide