Provider Demographics
NPI:1053846063
Name:HOPE FAMILY RESOURCE
Entity type:Organization
Organization Name:HOPE FAMILY RESOURCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-550-5228
Mailing Address - Street 1:4087 HIGHWAY 45 S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39701-9635
Mailing Address - Country:US
Mailing Address - Phone:662-550-5228
Mailing Address - Fax:662-550-5228
Practice Address - Street 1:4087 HIGHWAY 45 S
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39701-9635
Practice Address - Country:US
Practice Address - Phone:662-550-5228
Practice Address - Fax:662-550-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care