Fix Your Crown Foundation
Religious Nonmedical Health Care Institution in Monroe, LA. Organization (NPI-2).
NPI number1346937745
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1346937745
- Entity type
- Organization (NPI-2)
- Legal business name
- Fix Your Crown Foundation
- Organization subpart
- No
- Enumeration date
- Apr 18, 2023
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282J00000X | Religious Nonmedical Health Care Institution | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
8656 Highway 165 N Apt 16Monroe, LA 71203-8709
Phone 682-215-2860
Mailing address
8656 Highway 165 N Apt 16Monroe, LA 71203-8709
Phone 682-215-2860
Other practice locations
1205 N 18th St Ste 117
Monroe, LA 71201-5400
Monroe, LA 71201-5400
Phone 682-215-2860
Authorized official
Yolanda Thomas
President
6822152860
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