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Malaner Edwards Gallow

Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Washington, LA

NPI 1982826293 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1982826293
Entity type
Organization (NPI type 2)
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Legal business name
MALANER EDWARDS GALLOW
Practice address
3485 Faubourg Rd
Washington, LA 70589-5512
Phone
(337) 363-4344
Fax
(337) 363-4377
NPI assigned
May 3, 2007
Organization subpart
No

Authorized official

Name
Mrs. Malnaer Edwards Gallow
Title
Owner
Phone
(337) 363-4344

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Malaner Edwards Gallow (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Yes

Addresses

Primary practice location

3485 Faubourg Rd
Washington, LA 70589-5512

Mailing address

3485 Faubourg Rd
Washington, LA 70589-5512
Phone (337) 363-4344

Other identifiers

IdentifierTypeStateIssuer
1161004MedicaidLA

Other names

  • Precious Life Care,LLC Doing business as

Other providers in Washington, LA

All providers in Washington, LA · Child Intellectual and/or Developmental Disabilities Respite Care in Louisiana

Sources for this page

Verify at the official NPI Registry.