Provider Demographics
NPI:1497327845
Name:MARVELOUS HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MARVELOUS HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAREED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-488-6220
Mailing Address - Street 1:8400 MIRAMAR RD STE 250C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6333
Mailing Address - Country:US
Mailing Address - Phone:619-488-6220
Mailing Address - Fax:619-488-6241
Practice Address - Street 1:8400 MIRAMAR RD STE 250C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6333
Practice Address - Country:US
Practice Address - Phone:619-488-6220
Practice Address - Fax:619-488-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based