Provider Demographics
NPI:1396921185
Name:A LIGHT OF HOPE
Entity type:Organization
Organization Name:A LIGHT OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-690-8012
Mailing Address - Street 1:PO BOX 2433
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2434
Mailing Address - Country:US
Mailing Address - Phone:919-690-8012
Mailing Address - Fax:
Practice Address - Street 1:375 E 3RD ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-9708
Practice Address - Country:US
Practice Address - Phone:919-690-8012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management