NPI 1831477405

Immaculate Heart of Mary-Pcs, LLC

Organisation Chore Provider Melville, LA

Practice location

Address: 226 Lyons Street, Melville, LA 71353
Phone: (337) 623-4100
Fax: (337) 623-4102
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 PCA 12145 (LA)

Other Chore Provider providers in Louisiana →

Registry record

NPI: 1831477405
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.