Organization
COMMUNITY ANGELS OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY JOHNSON (PRESIDENT)
(318) 746-4673
Entity
Organization
Contact information
Practice address
2750 SHED RD STE D2, BOSSIER CITY, LA 71111-3386
(318) 746-4673
(318) 549-9003
Mailing address
2750 SHED RD STE D2, BOSSIER CITY, LA 71111-3386
(318) 746-4673
(318) 549-9003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6858
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529800
—
LA
Enumeration date
09/24/2007
Last updated
09/24/2007
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