Provider Demographics
NPI:1225688468
Name:M.R. & ASSOCIATES.COM
Entity Type:Organization
Organization Name:M.R. & ASSOCIATES.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTELLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-252-5060
Mailing Address - Street 1:1808 HARPER RD
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3331
Mailing Address - Country:US
Mailing Address - Phone:304-252-5060
Mailing Address - Fax:304-252-5062
Practice Address - Street 1:1808 HARPER RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3331
Practice Address - Country:US
Practice Address - Phone:304-252-5060
Practice Address - Fax:304-252-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care