Provider Demographics
NPI:1295287050
Name:AMAL CENTER OF HOPE LLC
Entity type:Organization
Organization Name:AMAL CENTER OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-380-0116
Mailing Address - Street 1:2214 TEDROW RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3859
Mailing Address - Country:US
Mailing Address - Phone:419-725-1415
Mailing Address - Fax:419-389-6284
Practice Address - Street 1:1301 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-2809
Practice Address - Country:US
Practice Address - Phone:419-725-1415
Practice Address - Fax:419-389-6284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder