Provider Demographics
NPI:1568092831
Name:MARVELOUS HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:MARVELOUS HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINYEMI
Authorized Official - Middle Name:SOLOMON
Authorized Official - Last Name:IWAJOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-242-1614
Mailing Address - Street 1:18 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-3240
Mailing Address - Country:US
Mailing Address - Phone:267-242-1614
Mailing Address - Fax:
Practice Address - Street 1:117 N CAROL BLVD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1425
Practice Address - Country:US
Practice Address - Phone:267-242-1614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care