Organization
MARIE'S FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA JOHNSON (OWNER/EXEC. DIRECTOR)
(318) 341-2775
Entity
Organization
Contact information
Practice address
700 E GREEN ST, TALLULAH, LA 71282-3823
(318) 574-9009
(318) 574-9926
Mailing address
PO BOX 1404, TALLULAH, LA 71284-1404
(318) 574-9009
(318) 574-9926
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
14056
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124753
—
LA
05
—
1173169
—
LA
Enumeration date
05/14/2008
Last updated
08/09/2022
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