Organization
NEAL W.ANGRUM
Active
Other names
faith and hope independent living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL W ANGRUM DIRECT OWNER (DIRECTOR)
(318) 450-1478
Entity
Organization
Contact information
Practice address
10249 HWY.67, SUITE1, CLINTON, LA 70722
(225) 683-3997
(318) 651-9107
Mailing address
408 THATCHER LN, MONROE, LA 71203-6516
(318) 450-1478
(318) 651-9107
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
7086,7087,7088
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4506157
—
LA
Enumeration date
03/05/2007
Last updated
09/21/2007
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