Whalio Doctors

NPI 1124276068

Martin Family Support Services

Organisation PACE Provider Organization Plain Dealing, LA

Practice location

Address
248 Blankenship 248 Blankenship, Plain Dealing, LA 71064
Phone
(318) 326-4623
Mailing address
248 Blankenship Road, Plain Dealing, LA 71064

Authorised official

Name
Chinkesha C Taylor
Title
Director
Phone
(318) 326-4623

Registered specialties

PACE Provider Organization Primary
Agencies Taxonomy 251T00000X Licence 15079 (LA)

Registry record

NPI
1124276068
Entity type
Organization
NPI issued
4 Sep 2008
Record last updated
4 Sep 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.