Provider Demographics
NPI:1134773765
Name:TORCHES OF HOPE
Entity type:Organization
Organization Name:TORCHES OF HOPE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CLEO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-228-0588
Mailing Address - Street 1:1701 S HEATHERWILDE BLVD APT 838
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-6263
Mailing Address - Country:US
Mailing Address - Phone:512-721-2414
Mailing Address - Fax:
Practice Address - Street 1:1701 S HEATHERWILDE BLVD APT 838
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-6263
Practice Address - Country:US
Practice Address - Phone:763-228-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health