Healthcare Provider Details

I. General information

NPI: 1932773470
Provider Name (Legal Business Name): TRUTH FAITH 3 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E 5TH AVE STE B
OAKDALE LA
71463-2903
US

IV. Provider business mailing address

PO BOX 43
OAKDALE LA
71463-0043
US

V. Phone/Fax

Practice location:
  • Phone: 337-831-0374
  • Fax: 337-363-0952
Mailing address:
  • Phone: 318-335-5563
  • Fax: 337-363-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. FAITH SAMPSON
Title or Position: OWNER
Credential:
Phone: 337-459-6368