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Organization

MARIE'S FAMILY HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MATILDA JOHNSON (OWNER)
(317) 574-9009
Entity
Organization

Contact information

Practice address
111 N WALNUT ST, TALLULAH, LA 71282-3733
(318) 574-9009
Mailing address
111 N WALNUT ST, TALLULAH, LA 71282-3733
(318) 574-9009

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
1477770
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477770
LA
Enumeration date
05/06/2013
Last updated
05/06/2013
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