Provider Demographics
NPI:1053371211
Name:GOOD HOPE EQUESTRIAN TRAINING CENTER, INC.
Entity type:Organization
Organization Name:GOOD HOPE EQUESTRIAN TRAINING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-258-2838
Mailing Address - Street 1:PO BOX 700016
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-0016
Mailing Address - Country:US
Mailing Address - Phone:305-258-2838
Mailing Address - Fax:305-258-2902
Practice Address - Street 1:22155 SW 147TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-4201
Practice Address - Country:US
Practice Address - Phone:305-258-2838
Practice Address - Fax:305-258-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9858225X00000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty