NPI 1144508714

Immaculate Heart of Mary

Organisation Chore Provider Marksville, LA

Practice location

Address: 347 South Preston Street, Marksville, LA 71351
Phone: (318) 253-5400
Fax: (318) 253-5454
Mailing address: P.O. 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 PCA15128 (LA)

Other Chore Provider providers in Louisiana →

Registry record

NPI: 1144508714
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.