NPI 1144855123
Hope Shores, LLC
Practice location
- Address
- 1383 E Maple Ave, Burton, MI 48529-2059
- Phone
- (810) 964-0412
- Mailing address
- 10242 McKinley Rd, Montrose, MI 48457-9187
Authorised official
- Name
- Ryan Wickson
- Title
- Owner
- Phone
- (810) 964-0412
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1144855123
- Entity type
- Organization
- NPI issued
- 10 Mar 2020
- Record last updated
- 10 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.