Provider Demographics
NPI:1659708535
Name:MARSHALL'S HOME HEALTH AIDE
Entity Type:Organization
Organization Name:MARSHALL'S HOME HEALTH AIDE
Other - Org Name:JACKSONVILLE'S BEST CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSALUND
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-343-0695
Mailing Address - Street 1:10331 PALMETTO BAY RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-9159
Mailing Address - Country:US
Mailing Address - Phone:904-343-0695
Mailing Address - Fax:904-738-7246
Practice Address - Street 1:10331 PALMETTO BAY RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-9159
Practice Address - Country:US
Practice Address - Phone:904-343-0695
Practice Address - Fax:904-738-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233172251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health