NPI 1043598717

Immaculate Heart of Mary

Organisation Chore Provider Morganza, LA

Practice location

Address: 241 North La 1, Morganza, LA 70759
Phone: (225) 694-3312
Fax: (225) 694-0337
Mailing address: PO Box 670, Melville, LA 71353-0670

Authorised official

Name: Bennett Wade Morain
Title: Owner
Phone: (337) 623-4100

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence PCA7252 (LA)

Other Chore Provider providers in Louisiana →

Registry record

NPI: 1043598717
Entity type: Organization
NPI issued: 29 Jul 2011
Record last updated: 29 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.