Organization
MARIE'S FAMILY HEALTHCARE & SITTER SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MATILDA WATSON JOHNSON (EXECUTIVE DIRECTOR)
(318) 574-9009
Entity
Organization
Contact information
Practice address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(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
0006420
LA
3747P1801X
Personal Care Attendant
Primary
14056
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124753
—
LA
05
—
1127159
—
LA
05
—
1151360
—
LA
05
—
1173169
—
LA
05
—
1477770
—
LA
Enumeration date
01/08/2007
Last updated
11/02/2012
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