Provider Demographics
NPI:1023742947
Name:SPRING OF HOPE HEALTH SERVICES INC
Entity type:Organization
Organization Name:SPRING OF HOPE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRHENE
Authorized Official - Middle Name:K
Authorized Official - Last Name:OSAGIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CNP, PMHNP-BC
Authorized Official - Phone:781-205-9944
Mailing Address - Street 1:14 PAGE TER STE 3CD
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-4602
Mailing Address - Country:US
Mailing Address - Phone:781-205-9944
Mailing Address - Fax:
Practice Address - Street 1:14 PAGE TER STE 3CD
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-4602
Practice Address - Country:US
Practice Address - Phone:781-205-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty