NPI | 1194322586 |
---|---|
Doing Business As | HOPEHEALTH SECOND LOOP RD |
Entity Type | Organization |
Authorized Contact | MARK VINSON CFO 843-656-0353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |