Organization
FIX YOUR CROWN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA THOMAS (PRESIDENT)
(682) 215-2860
Entity
Organization
Contact information
Practice address
8656 HIGHWAY 165 N APT 16, MONROE, LA 71203-8709
(682) 215-2860
Mailing address
8656 HIGHWAY 165 N APT 16, MONROE, LA 71203-8709
(682) 215-2860
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
08/09/2023
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