# MARIE'S FAMILY HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1871938720
- **Authorized official:** MS. MATILDA JOHNSON (OWNER)
- **Authorized official phone:** (317) 574-9009

## Contact information

- **Practice address:** 111 N WALNUT ST, TALLULAH, LA 71282-3733
- **Practice address phone:** (318) 574-9009
- **Mailing address:** 111 N WALNUT ST, TALLULAH, LA 71282-3733
- **Mailing address phone:** (318) 574-9009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 1477770 | LA | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/06/2013