Organization
PROMISE PRIDE ENTERPRISES, INC.
Active
Parent organization
PROMISE PRIDE ENTERPRISES, INC.
Other names
Promise Pride Adult Day Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMISE PRIDE ENTERPRISES, INC.
Authorized official
MRS. MARY E. WHITE REGISTERED NURSE (PROGRAM DIRECTOR/ADMINISTRATOR)
(225) 774-3385
Entity
Organization
Contact information
Practice address
5100 GROOM RD, BAKER, LA 70714-3124
(225) 774-3385
(225) 774-7381
Mailing address
5100 GROOM RD, BAKER, LA 70714-3124
(225) 774-3385
(225) 774-7381
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADHC 5039
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191655
—
IA
01
—
1468070
(WAIVER)
IA
Enumeration date
11/27/2007
Last updated
11/27/2007
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