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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