Organization
MALICORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALICE FUSELIER (C.E.O.)
(337) 993-2005
Entity
Organization
Contact information
Practice address
722 JOHNSON ST, TALLULAH, LA 71282-4533
(318) 574-2229
(318) 574-2219
Mailing address
PO BOX 62150, LAFAYETTE, LA 70596
(337) 993-2005
(337) 993-2026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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