Provider Demographics
NPI:1649406596
Name:FAITH AND HOPE IND LIVING
Entity Type:Organization
Organization Name:FAITH AND HOPE IND LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-450-1478
Mailing Address - Street 1:408 THATCHER LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-6516
Mailing Address - Country:US
Mailing Address - Phone:318-388-6808
Mailing Address - Fax:318-388-6893
Practice Address - Street 1:408 THATCHER LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6516
Practice Address - Country:US
Practice Address - Phone:318-388-6808
Practice Address - Fax:318-388-6893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1328341253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care