| Hope Village Llc | |
|
3975 Kenneth Dr Rootstown OH 44272-9252 | |
| (330) 850-5141 | |
| (330) 850-5349 |
| Full Name | Hope Village Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3975 Kenneth Dr, Rootstown, Ohio |
| Authorized Official Name and Position | Ted Carl St. John (CEO) |
| Authorized Official Contact | 3308505141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Village Llc 3975 Kenneth Dr Rootstown OH 44272-9252 Ph: (330) 850-5141 | Hope Village Llc 3975 Kenneth Dr Rootstown OH 44272-9252 Ph: (330) 850-5141 |
| NPI Number | 1316505019 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316505019 | NPI | - | NPPES |
| 0324390 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Beauty From Ashes Counseling And Consultation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3671 Tallmadge Rd, Rootstown, OH 44272 Phone: 330-931-1350 |