Provider Demographics
NPI:1255161451
Name:HOPE FOR HEROES HORSEMANSHIP CENTER
Entity type:Organization
Organization Name:HOPE FOR HEROES HORSEMANSHIP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WOELK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-485-8223
Mailing Address - Street 1:14528 AVIS LN SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-8544
Mailing Address - Country:US
Mailing Address - Phone:360-485-8223
Mailing Address - Fax:
Practice Address - Street 1:14528 AVIS LN SE
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8544
Practice Address - Country:US
Practice Address - Phone:360-485-8223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Single Specialty