Immaculate Heart of Mary
Immaculate Heart of Mary is a Preferred Provider Organization in Morganza, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
241 N Hwy 1Morganza, LA 70759-0505
Phone: (225) 694-0010
Fax: (337) 623-4102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 1621676 (LA) |
|---|
Record details
| NPI number | 1417158775 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Danielle Sanders — Supervisor · (337) 623-4100 |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 505, Morganza, LA 70759-0505 |