| NPI | 1821214321 |
|---|---|
| Other Name | MARY MARCOMBE HOME |
| Entity Type | Organization |
| Authorized Contact | MARLENE BENOIT DOMINGUE Executive Director 225-473-4517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: LA PCA6675) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |