| Organization Name: | PREMIER HOPE ORTHOTIC & PROSTHETIC ENTERPRISES LLC |
| NPI Number: | 1013077064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY S LINDSLEY (ADMINISTRATOR) |
| Mailing Address: | 1209 Royal Avenue Monroe |
| State: | LA US |
| Postal Code: | 71201 |
| Phone Number: | 3188120119 |
| Fax Number: | 3188120136 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 09/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |