Organization
MARTIN FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINKESHA C TAYLOR (DIRECTOR)
(318) 326-4623
Entity
Organization
Contact information
Practice address
248 BLANKENSHIP RD, PLAIN DEALING, LA 71064-0515
(318) 326-4623
(318) 326-4632
Mailing address
PO BOX 515, 248 BLANKENSHIP ROAD, PLAIN DEALING, LA 71064-0515
(318) 326-4623
(318) 326-4632
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
20086
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20086
—
LA
Enumeration date
09/04/2008
Last updated
09/04/2008
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