| NPI | 1831442854 |
|---|---|
| Doing Business As | HOPEHEALTH LAKE CITY SAULS STREET |
| 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 | 2022-08-22 |