NPI | 1043790884 |
---|---|
Former Legal Business Name | FAITH AND HOPE THERAPUTIC GROUP HOME |
Entity Type | Organization |
Authorized Contact | NEAL ANGRUM Owner 318-450-1478 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: LA 1664588) |
Additional Taxonomies | 251E00000X Home Health (Licence: LA 1598717) |
251E00000X Home Health (Licence: LA 1172618) | |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |