Provider Demographics
NPI:1689302028
Name:FAMILY HOPE HEALTH CARE LLC
Entity Type:Organization
Organization Name:FAMILY HOPE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CCP, CNA
Authorized Official - Phone:520-388-0338
Mailing Address - Street 1:112 S LONDON STATION RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-2109
Mailing Address - Country:US
Mailing Address - Phone:520-388-8033
Mailing Address - Fax:
Practice Address - Street 1:112 S LONDON STATION RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-2109
Practice Address - Country:US
Practice Address - Phone:520-388-8033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness