Community Angels Of Hope Llc | |
2750 Shed Rd Ste D2 Bossier City LA 71111-3386 | |
(318) 746-4673 | |
(318) 549-9003 |
Full Name | Community Angels Of Hope Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2750 Shed Rd Ste D2, Bossier City, Louisiana |
Authorized Official Name and Position | Holly Johnson (PRESIDENT) |
Authorized Official Contact | 3187464673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Angels Of Hope Llc 2750 Shed Rd Ste D2 Bossier City LA 71111-3386 Ph: (318) 746-4673 | Community Angels Of Hope Llc 2750 Shed Rd Ste D2 Bossier City LA 71111-3386 Ph: (318) 746-4673 |
NPI Number | 1093901076 |
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Provider Enumeration Date | 09/24/2007 |
Last Update Date | 09/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093901076 | NPI | - | NPPES |
1529800 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6858 (Louisiana) | Primary |
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