Provider Demographics
NPI:1659818995
Name:HOPE CARE CENTER OF DAVIDSON COUNTY
Entity Type:Organization
Organization Name:HOPE CARE CENTER OF DAVIDSON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-205-2931
Mailing Address - Street 1:5855 NC HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6253
Mailing Address - Country:US
Mailing Address - Phone:336-596-8930
Mailing Address - Fax:
Practice Address - Street 1:5855 NC HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6253
Practice Address - Country:US
Practice Address - Phone:336-596-8930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services