Organization
MANIFESTED HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MALLARD (CEO)
(225) 303-4688
Entity
Organization
Contact information
Practice address
2127 BEAUMONT DR, BATON ROUGE, LA 70806-1449
(225) 303-4688
Mailing address
2127 BEAUMONT DR, BATON ROUGE, LA 70806-1449
(225) 303-4688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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