Provider Demographics
NPI:1801368212
Name:ASSURANCE OF HOPE INSTITUTE, INC
Entity Type:Organization
Organization Name:ASSURANCE OF HOPE INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SWABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-368-6856
Mailing Address - Street 1:5975 W SUNRISE BLVD STE 115B
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6801
Mailing Address - Country:US
Mailing Address - Phone:954-368-6856
Mailing Address - Fax:954-400-7394
Practice Address - Street 1:2712 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-2551
Practice Address - Country:US
Practice Address - Phone:954-709-8022
Practice Address - Fax:954-400-7394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSURANCE OF HOPE INSTITUTE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-24
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health