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Organization

ORA TREADWAY

Active
Other names
Hope Rrovider Care Service,inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ORA LEE TREADWAY (PRESIDENT)
(318) 410-0900
Entity
Organization

Contact information

Practice address
808 N 31ST ST, SUITE C, MONROE, LA 71201-3941
(318) 410-0900
(318) 410-0901
Mailing address
808 N 31ST ST, SUITE C, MONROE, LA 71201-3941
(318) 410-0900
(318) 410-0901

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA10922
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1017191
EDA WAIVER
LA
Enumeration date
02/08/2008
Last updated
06/17/2008
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