# MARRELL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164394490
- **Authorized official:** FARRYL WILBURN PA-C (PARTNER)
- **Authorized official phone:** (504) 858-5887

## Contact information

- **Practice address:** 12 BEAGLE RUN, ALEXANDRIA, LA 71303-8800
- **Practice address phone:** (504) 858-5887
- **Mailing address:** 12 BEAGLE RUN, ALEXANDRIA, LA 71303-8800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 09/17/2025