Provider Demographics
NPI:1447511639
Name:TRUTH FAITH 2 LLC
Entity type:Organization
Organization Name:TRUTH FAITH 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:337-363-4521
Mailing Address - Street 1:1021 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-4833
Mailing Address - Country:US
Mailing Address - Phone:337-363-4521
Mailing Address - Fax:337-363-4524
Practice Address - Street 1:1021 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4833
Practice Address - Country:US
Practice Address - Phone:337-363-4521
Practice Address - Fax:337-363-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization