Provider Demographics
NPI:1730577131
Name:HOPEZ912, LLC
Entity type:Organization
Organization Name:HOPEZ912, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:MCBANE
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-856-2508
Mailing Address - Street 1:108 STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-8309
Mailing Address - Country:US
Mailing Address - Phone:717-856-2508
Mailing Address - Fax:
Practice Address - Street 1:1180 LOWTHER RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7541
Practice Address - Country:US
Practice Address - Phone:717-774-2400
Practice Address - Fax:717-724-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier