Provider Demographics
NPI:1093173031
Name:MARMAR HOME HEALTH CARE NURSING REHABILITAION AND RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:MARMAR HOME HEALTH CARE NURSING REHABILITAION AND RESPIRATORY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSTRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-476-1466
Mailing Address - Street 1:4475 MAPLE CHASE TRL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-3508
Mailing Address - Country:US
Mailing Address - Phone:407-476-1466
Mailing Address - Fax:
Practice Address - Street 1:4475 MAPLE CHASE TRL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-3508
Practice Address - Country:US
Practice Address - Phone:407-476-1466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9415277251E00000X, 251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care