Provider Demographics
NPI:1437832367
Name:MARCYELLE FAMILY HOMECARE LLC
Entity Type:Organization
Organization Name:MARCYELLE FAMILY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRALYNN
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-566-2234
Mailing Address - Street 1:2137 W BURGESS LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-5307
Mailing Address - Country:US
Mailing Address - Phone:602-566-2234
Mailing Address - Fax:
Practice Address - Street 1:2137 W BURGESS LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-5307
Practice Address - Country:US
Practice Address - Phone:602-566-2234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty