| Organization Name: | PROMISE PRIDE ENTERPRISES, INC. |
| NPI Number: | 1316129828 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY E. WHITE (PROGRAM DIRECTOR/ADMINISTRATOR) |
| Mailing Address: | 5100 Groom Rd Baker |
| State: | LA US |
| Postal Code: | 707143124 |
| Phone Number: | 2257743385 |
| Fax Number: | 2257747381 |
| NPI Enumeration Date: | 11/27/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ADHC 5039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |