NPI 1689880742

Malicorp

Organisation Home Health Agency Tallulah, LA

Practice location

Address: 722 Johnson St, Tallulah, LA 71282-4533
Phone: (318) 574-2229
Fax: (318) 574-2219
Mailing address: 100 Toulouse Dr, Lafayette, LA 70506-5132

Authorised official

Name: Mary Alice Fuselier
Title: C.E.O.
Phone: (337) 993-2005

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 4504110 (LA)

Other Home Health providers in Louisiana →

Registry record

NPI: 1689880742
Entity type: Organization
NPI issued: 15 May 2007
Record last updated: 25 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.