Provider Demographics
NPI:1235911686
Name:OUTSTANDING HOPE HEALTH RESTORE CARE CENTER, PLLC
Entity type:Organization
Organization Name:OUTSTANDING HOPE HEALTH RESTORE CARE CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERESSE
Authorized Official - Middle Name:MICHEL
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC,ARNP
Authorized Official - Phone:804-735-9181
Mailing Address - Street 1:12310 MOORES LAKE ROAD, APT 3-407
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831
Mailing Address - Country:US
Mailing Address - Phone:804-735-9181
Mailing Address - Fax:804-636-7079
Practice Address - Street 1:5303 PLAZA DRIVE
Practice Address - Street 2:SUITE #106
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-7331
Practice Address - Country:US
Practice Address - Phone:804-735-9181
Practice Address - Fax:804-636-7079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care