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Organization

LIVING LEGACY OF HOPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA ANDREW (PRESIDENT)
(812) 201-7759
Entity
Organization

Contact information

Practice address
1038 N 8TH ST, TERRE HAUTE, IN 47807-1516
(812) 201-7759
Mailing address
PO BOX 10732, TERRE HAUTE, IN 47801-0732
(812) 201-7759

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
177F00000X
Lodging Provider
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency
261QM1300X
Multi-Specialty Clinic/Center
310400000X
Assisted Living Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
333600000X
Pharmacy
343900000X
Non-emergency Medical Transport (VAN)
376J00000X
Homemaker

Other

Enumeration date
11/18/2024
Last updated
11/19/2024
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