Provider Demographics
NPI:1700575388
Name:HOPE, ABBIE DIANNE
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:DIANNE
Last Name:HOPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4535 WAYLAND CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9427
Mailing Address - Country:US
Mailing Address - Phone:336-688-4823
Mailing Address - Fax:
Practice Address - Street 1:4535 WAYLAND CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9427
Practice Address - Country:US
Practice Address - Phone:336-688-4823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility