Provider Demographics
NPI:1639700271
Name:KYE, HOPE JEKA
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:JEKA
Last Name:KYE
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 1:182 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-2201
Mailing Address - Country:US
Mailing Address - Phone:201-852-6471
Mailing Address - Fax:
Practice Address - Street 1:182 1ST ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-2201
Practice Address - Country:US
Practice Address - Phone:201-852-6471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-02
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities