Organization
MARTIN FAMILY SUPPORT SERVICES
Active
Other names
Martin Family Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAPLE LEE MARTIN (PROGRAM MANAGER/OWNER)
(318) 326-4623
Entity
Organization
Contact information
Practice address
248 BLANKENSHIP ROAD, PLAIN DEALING, LA 71064
(318) 326-4623
Mailing address
P.O. BOX 515, 248 BLANKENSHIP ROAD, PLAIN DEALING, LA 71064
(318) 326-4623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
15079
LA
251G00000X
Community Based Hospice Care Agency
Primary
20086
LA
251T00000X
PACE Provider Organization
15079
LA
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007762
—
LA
05
—
0007764
—
LA
01
—
15079
CHILDREN'S CHOICE
LA
Enumeration date
08/13/2008
Last updated
01/07/2009
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