Malicorp

NPI #1093984353 in Tallulah, Louisiana

Provider Information

NPI Number: 1093984353
Entity Type: Organization
Organization Name: Malicorp
Primary Specialty: Home Health
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 722 JOHNSON ST
City: Tallulah
State: Louisiana
ZIP Code: 71282-4533
Phone: (318) 574-2229

Authorized Official

Name: MARY ALICE FUSELIER
Title: C.E.O.
Phone: (318) 574-2229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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