Provider Demographics
NPI:1861968729
Name:NEW HOPE HOLISTIC CARE CENTER
Entity type:Organization
Organization Name:NEW HOPE HOLISTIC CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ETIENNE
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-990-5431
Mailing Address - Street 1:3845 N ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5263
Mailing Address - Country:US
Mailing Address - Phone:954-990-5431
Mailing Address - Fax:
Practice Address - Street 1:3845 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5263
Practice Address - Country:US
Practice Address - Phone:954-990-5431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center