Organization
BRIDGE OF HOPE PROVIDER AGENCY LLC
Active
Organization
BRIDGE OF HOPE PROVIDER AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KAYE WELCH (ADMINISTRATOR)
(318) 325-5620
Entity
Organization
Contact information
Practice address
2905 CAMERON ST STE B, MONROE, LA 71201-3791
(318) 325-5620
(318) 325-5661
Mailing address
2905 CAMERON ST STE B, MONROE, LA 71201-3791
(318) 325-5620
(318) 325-5661
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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