| 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 | 1285820266 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285820266 | NPI | - | NPPES |
| 1529770 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6885 (Louisiana) | Primary |
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