| NPI | 1831442854 |
|---|---|
| Doing Business As | HOPEHEALTH LAKE CITY SAULS STREET |
| Doing Business As | HOPEHEALTH DENTAL LAKE CITY |
| Other Name | HOPEHEALTH LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | MARK VINSON Chief Financial Officer 843-656-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-08-30 |