Provider Demographics
NPI:1467825000
Name:MARIMOR INDUSTRIES INC
Entity Type:Organization
Organization Name:MARIMOR INDUSTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:RASHAWNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:419-221-1226
Mailing Address - Street 1:2450 ADA RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3342
Mailing Address - Country:US
Mailing Address - Phone:419-221-1226
Mailing Address - Fax:
Practice Address - Street 1:2450 ADA RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3342
Practice Address - Country:US
Practice Address - Phone:419-221-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services