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Organization

FAITH FOUNDATION HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAM BROSSETT RN (ADMINISTRATOR/OWNER)
(318) 443-5545
Entity
Organization

Contact information

Practice address
3503 PARLIAMENT CT, ALEXANDRIA, LA 71303-3135
(318) 443-5545
(318) 561-6534
Mailing address
PO BOX 11757, ALEXANDRIA, LA 71315-1757
(318) 443-5545
(318) 564-6534

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105
LOUISIANA LICENSE
LA
05
1580635
LA
Enumeration date
11/04/2005
Last updated
08/22/2020
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