Provider Demographics
NPI:1013579168
Name:MARI'S CLEANING AND SENIOR CARE SERVICES
Entity Type:Organization
Organization Name:MARI'S CLEANING AND SENIOR CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:I
Authorized Official - Last Name:DEBOLT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER EMT
Authorized Official - Phone:989-721-0857
Mailing Address - Street 1:123 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MI
Mailing Address - Zip Code:48880-1428
Mailing Address - Country:US
Mailing Address - Phone:989-721-0857
Mailing Address - Fax:
Practice Address - Street 1:123 N PINE ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-1428
Practice Address - Country:US
Practice Address - Phone:989-721-0857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health