Provider Demographics
NPI:1073837605
Name:MARSAW HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:MARSAW HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONI
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARSAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-686-9000
Mailing Address - Street 1:3605 INTERSTATE 30
Mailing Address - Street 2:SUITE C
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2670
Mailing Address - Country:US
Mailing Address - Phone:972-686-9000
Mailing Address - Fax:
Practice Address - Street 1:3605 INTERSTATE 30
Practice Address - Street 2:SUITE C
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2670
Practice Address - Country:US
Practice Address - Phone:972-686-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health