Hope Shores, LLC

NPI #1144855123 in Burton, Michigan

Provider Information

NPI Number: 1144855123
Entity Type: Organization
Organization Name: Hope Shores, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 10, 2020
Last Updated: Mar 10, 2020

Practice Location

Address: 1383 E MAPLE AVE
City: Burton
State: Michigan
ZIP Code: 48529-2059
Phone: (810) 964-0412

Authorized Official

Name: MR. RYAN WICKSON
Title: OWNER
Phone: (810) 964-0412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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