Provider Demographics
NPI:1144403569
Name:MARGUERITE B. SPINA
Entity Type:Organization
Organization Name:MARGUERITE B. SPINA
Other - Org Name:YELLOW DAFFODILS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SPINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-692-7544
Mailing Address - Street 1:961 DOWNINGTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1951
Mailing Address - Country:US
Mailing Address - Phone:610-692-7544
Mailing Address - Fax:610-696-1126
Practice Address - Street 1:961 DOWNINGTOWN PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1951
Practice Address - Country:US
Practice Address - Phone:610-692-7544
Practice Address - Fax:610-696-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1219130001Medicare NSC