Provider Demographics
NPI:1497948871
Name:MARJUL HOMES INC.
Entity Type:Organization
Organization Name:MARJUL HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAHAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-588-7256
Mailing Address - Street 1:160 BRYANT ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1631
Mailing Address - Country:US
Mailing Address - Phone:202-588-7256
Mailing Address - Fax:240-266-0079
Practice Address - Street 1:160 BRYANT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1631
Practice Address - Country:US
Practice Address - Phone:202-588-7256
Practice Address - Fax:240-266-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities