Provider Demographics
NPI:1235751397
Name:MARQ D'S LLC
Entity Type:Organization
Organization Name:MARQ D'S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARENZIA
Authorized Official - Middle Name:EVON
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-834-2568
Mailing Address - Street 1:1317 S LEE ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-1329
Mailing Address - Country:US
Mailing Address - Phone:678-632-5391
Mailing Address - Fax:
Practice Address - Street 1:1317 S LEE ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-1329
Practice Address - Country:US
Practice Address - Phone:678-632-5391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care