Organization
MARRELL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRYL WILBURN PA-C (PARTNER)
(504) 858-5887
Entity
Organization
Contact information
Practice address
12 BEAGLE RUN, ALEXANDRIA, LA 71303-8800
(504) 858-5887
Mailing address
12 BEAGLE RUN, ALEXANDRIA, LA 71303-8800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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