Provider Demographics
NPI:1790910354
Name:HOPE & NEW LIFE HEALTHCARE
Entity Type:Organization
Organization Name:HOPE & NEW LIFE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYERR
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:612-366-0056
Mailing Address - Street 1:15278 DUPONT PATH
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-5893
Mailing Address - Country:US
Mailing Address - Phone:612-366-0056
Mailing Address - Fax:952-953-3301
Practice Address - Street 1:15278 DUPONT PATH
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-5893
Practice Address - Country:US
Practice Address - Phone:612-366-0056
Practice Address - Fax:952-953-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies