Immaculate Heart of Mary
NPI #1144508714 in Marksville, Louisiana
Provider Information
- NPI Number
- 1144508714
- Entity Type
- Organization
- Organization Name
- Immaculate Heart of Mary
- Primary Specialty
- Chore Provider
- Enumeration Date
- Jul 29, 2011
- Last Updated
- Jul 29, 2011
Practice Location
- Address
- 347 SOUTH PRESTON STREET
- City
- Marksville
- State
- Louisiana
- ZIP Code
- 71351
- Phone
- (318) 253-5400
Authorized Official
- Name
- BENNETT WADE MORAIN
- Title
- OWNER
- Phone
- (337) 623-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chore Provider |
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