Organization
A NEW FAITH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIC HARRIS (EXECUTIVE DIRECTOR)
(319) 737-0377
Entity
Organization
Contact information
Practice address
501 PINE ST, MONROE, LA 71201-6333
(318) 570-4995
Mailing address
501 PINE ST, MONROE, LA 71201-6333
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2203783943
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203783943
—
LA
Enumeration date
06/13/2018
Last updated
06/13/2018
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