Organization
HOPE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERNEY THOMAS SR. (CEO)
(337) 363-4521
Entity
Organization
Contact information
Practice address
2683 VIDRINE RD, VILLE PLATTE, LA 70586-8505
(337) 363-4521
(337) 363-4524
Mailing address
2683 VIDRINE RD, VILLE PLATTE, LA 70586-8505
(337) 363-4521
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
554047
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175561
—
LA
05
—
1566039
—
LA
Enumeration date
06/01/2010
Last updated
06/01/2010
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