Provider Demographics
NPI:1528312618
Name:FAITH AND HOPE INDEPENDENT LIVING
Entity type:Organization
Organization Name:FAITH AND HOPE INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-450-1478
Mailing Address - Street 1:9508 PLANK RD
Mailing Address - Street 2:SUITE-C
Mailing Address - City:CLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70722-3701
Mailing Address - Country:US
Mailing Address - Phone:225-683-3997
Mailing Address - Fax:225-683-1033
Practice Address - Street 1:9508 PLANK RD
Practice Address - Street 2:SUITE-C
Practice Address - City:CLINTON
Practice Address - State:LA
Practice Address - Zip Code:70722-3701
Practice Address - Country:US
Practice Address - Phone:225-683-3997
Practice Address - Fax:225-683-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health