# MALICORP

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

## Provider details

- **NPI number:** 1912038951
- **Authorized official:** MRS. MARY ALICE FUSELIER (C.E.O.)
- **Authorized official phone:** (337) 993-2005

## Contact information

- **Practice address:** 100 TOULOUSE DR, LAFAYETTE, LA 70506-5132
- **Practice address phone:** (337) 993-2005
- **Practice address fax:** (337) 993-2026
- **Mailing address:** 100 TOULOUSE DR, LAFAYETTE, LA 70506-5132
- **Mailing address phone:** (337) 993-2005
- **Mailing address fax:** (337) 993-2026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4504110 | LA | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/22/2020