Provider Demographics
NPI:1417360421
Name:MARIN HOME CARE INC
Entity Type:Organization
Organization Name:MARIN HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUQUILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-997-1381
Mailing Address - Street 1:851 IRWIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3373
Mailing Address - Country:US
Mailing Address - Phone:415-717-8590
Mailing Address - Fax:
Practice Address - Street 1:851 IRWIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3373
Practice Address - Country:US
Practice Address - Phone:415-717-8590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care