NPI 1093984353
Malicorp
Practice location
- Address
- 722 Johnson St, Tallulah, LA 71282-4533
- Phone
- (318) 574-2229
- Fax
- (318) 574-2219
Authorised official
- Name
- Mary Alice Fuselier
- Title
- C.E.O.
- Phone
- (318) 574-2229
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1093984353
- Entity type
- Organization
- NPI issued
- 20 Feb 2008
- Record last updated
- 20 Feb 2008
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.