Provider Demographics
NPI:1578702585
Name:MARIANNA ENTERPRISES, INC
Entity Type:Organization
Organization Name:MARIANNA ENTERPRISES, INC
Other - Org Name:GENTLE TRANSITIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-944-1028
Mailing Address - Street 1:7346 OHMS LN
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2330
Mailing Address - Country:US
Mailing Address - Phone:952-944-1028
Mailing Address - Fax:952-944-2057
Practice Address - Street 1:7346 OHMS LN
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2330
Practice Address - Country:US
Practice Address - Phone:952-944-1028
Practice Address - Fax:952-944-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN170723OtherUCARE