Provider Demographics
NPI:1932726692
Name:YOLANDES HOPE FOR HAITI INCL
Entity Type:Organization
Organization Name:YOLANDES HOPE FOR HAITI INCL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXIUS
Authorized Official - Suffix:
Authorized Official - Credentials:RCSWI
Authorized Official - Phone:954-599-6880
Mailing Address - Street 1:1322 SW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-3609
Mailing Address - Country:US
Mailing Address - Phone:954-599-6880
Mailing Address - Fax:
Practice Address - Street 1:840 N LAUDERDALE AVE # 301K
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-2001
Practice Address - Country:US
Practice Address - Phone:954-599-6880
Practice Address - Fax:605-467-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty