Provider Demographics
NPI:1003204892
Name:MMHH, LLC
Entity Type:Organization
Organization Name:MMHH, LLC
Other - Org Name:THE MARION HOUSE ADULT DAY HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:MCCLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:859-537-4579
Mailing Address - Street 1:113 CAMPBELLSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1434
Mailing Address - Country:US
Mailing Address - Phone:270-384-0148
Mailing Address - Fax:270-384-0148
Practice Address - Street 1:135 E. MARTIN LUTHER KING AVE.
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033
Practice Address - Country:US
Practice Address - Phone:270-692-3811
Practice Address - Fax:270-692-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care