Organization
CHRISTIANFOUNDATIONINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN ANN WARR NURSE (OWNER)
12254745475
Entity
Organization
Contact information
Practice address
266 MYRTLE GROVE ST, DONALDSONVILLE, LA 70346-4340
(122) 547-4545
(122) 547-4548
Mailing address
266 MYRTLE GROVE ST, DONALDSONVILLE, LA 70346-4340
(122) 547-4545
(122) 547-4548
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
10679
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196126
—
LA
05
—
1702901
—
LA
Enumeration date
05/07/2007
Last updated
08/22/2020
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