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Organization

COMMUNITY ANGELS OF HOPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY JOHNSON (PRESIDENT)
(318) 746-4673
Entity
Organization

Contact information

Practice address
2750 SHED RD STE D2, BOSSIER CITY, LA 71111-3386
(318) 746-4673
(318) 549-9003
Mailing address
2750 SHED RD STE D2, BOSSIER CITY, LA 71111-3386
(318) 746-4673
(318) 549-9003

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1529931
LA
Enumeration date
01/18/2007
Last updated
09/15/2007
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