Organization
OPH-REGION 3-NURSE FAMILY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUWANA MARTS BSN, RN (R-3 NFP SUPERVISOR)
(985) 632-5567
Entity
Organization
Contact information
Practice address
600 POLK ST, HOUMA, LA 70360-4154
(985) 857-3602
(985) 857-3007
Mailing address
600 POLK ST, HOUMA, LA 70360-4154
(985) 857-3602
(985) 857-3007
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM 9914
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567116
—
LA
Enumeration date
12/15/2006
Last updated
08/22/2020
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