Organization
MALICORP TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ALICE FUSELIER (C.E.O.)
(318) 574-2229
Entity
Organization
Contact information
Practice address
722 JOHNSON ST, TALLULAH, LA 71282-4533
(318) 574-2229
(318) 574-2219
Mailing address
PO BOX 62150, LAFAYETTE, LA 70596-2150
(337) 993-2005
(337) 993-2026
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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