Heaven's Hope LLC

NPI #1932706603 in Richland, Missouri

Provider Information

NPI Number: 1932706603
Entity Type: Organization
Organization Name: Heaven's Hope LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Oct 6, 2020
Last Updated: Oct 6, 2020

Practice Location

Address: 25300 RIO ROAD
City: Richland
State: Missouri
ZIP Code: 65556
Phone: (573) 528-6527

Authorized Official

Name: KAREN ANTOINETTE JOHNSON, APRN
Title: CO-OWNER
Phone: (573) 528-6527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility	311Z00000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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