Provider Demographics
NPI:1902048333
Name:HOPEFULL WISHING INC.
Entity Type:Organization
Organization Name:HOPEFULL WISHING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-449-8450
Mailing Address - Street 1:132 MONTEITH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-2714
Mailing Address - Country:US
Mailing Address - Phone:704-449-8450
Mailing Address - Fax:704-405-8549
Practice Address - Street 1:132 MONTEITH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-2714
Practice Address - Country:US
Practice Address - Phone:704-449-8450
Practice Address - Fax:704-405-8549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty