Provider Demographics
NPI:1750532644
Name:NUHAVEN OF HOPE INC
Entity type:Organization
Organization Name:NUHAVEN OF HOPE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-714-9217
Mailing Address - Street 1:2950 HORIZON PARK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7250
Mailing Address - Country:US
Mailing Address - Phone:678-714-9217
Mailing Address - Fax:678-714-9223
Practice Address - Street 1:2950 HORIZON PARK DR
Practice Address - Street 2:SUITE B
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7250
Practice Address - Country:US
Practice Address - Phone:678-714-9217
Practice Address - Fax:678-714-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2008011574253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care