Healthcare Provider Details

I. General information

NPI: 1912199290
Provider Name (Legal Business Name): HOPEFUL HORIZONS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MCVICKER ST
MARION LA
71260-5408
US

IV. Provider business mailing address

160 MCVICKER STREET
MARION LA
71260
US

V. Phone/Fax

Practice location:
  • Phone: 318-292-4142
  • Fax: 318-292-4161
Mailing address:
  • Phone: 318-292-4142
  • Fax: 318-292-4161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM B GREESON
Title or Position: MEMBER
Credential:
Phone: 318-728-8804