Mangham Home Care INC

NPI #1720006679 in Mangham, Louisiana

Provider Information

NPI Number: 1720006679
Entity Type: Organization
Organization Name: Mangham Home Care INC
Primary Specialty: Home Health
Enumeration Date: Jul 18, 2006
Last Updated: Feb 11, 2009

Practice Location

Address: 714 BROADWAY
City: Mangham
State: Louisiana
ZIP Code: 71259
Phone: (318) 248-2797

Authorized Official

Name: MRS. IDA B GILLEY
Title: ADMINISTRATOR
Phone: (318) 248-2797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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Provider Name	Specialty	City
Mangham Home Care	Home Health	Mangham	AI Deep Dive
Mangham Home Care, INC	Home Health	Mangham	AI Deep Dive
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