Provider Demographics
NPI:1093117178
Name:MARGIE'S HOME CARE, L.L.C.
Entity Type:Organization
Organization Name:MARGIE'S HOME CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:KRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:425-502-1094
Mailing Address - Street 1:4405 MERIDIAN AVE N
Mailing Address - Street 2:
Mailing Address - City:TULALIP
Mailing Address - State:WA
Mailing Address - Zip Code:98271-6819
Mailing Address - Country:US
Mailing Address - Phone:425-502-1094
Mailing Address - Fax:877-492-4442
Practice Address - Street 1:4405 MERIDIAN AVE N
Practice Address - Street 2:
Practice Address - City:TULALIP
Practice Address - State:WA
Practice Address - Zip Code:98271-6819
Practice Address - Country:US
Practice Address - Phone:425-502-1094
Practice Address - Fax:877-492-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-21
Last Update Date:2014-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603190693251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health