Provider Demographics
NPI:1497086359
Name:AMIE MARCHINI GERONTOLOGIST INC.
Entity Type:Organization
Organization Name:AMIE MARCHINI GERONTOLOGIST INC.
Other - Org Name:MISSION'S CARE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-384-3300
Mailing Address - Street 1:3144 G ST # 125-329
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-1300
Mailing Address - Country:US
Mailing Address - Phone:209-384-3300
Mailing Address - Fax:209-384-3360
Practice Address - Street 1:1450 E 27TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-3221
Practice Address - Country:US
Practice Address - Phone:209-384-3300
Practice Address - Fax:209-384-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care