Provider Demographics
NPI:1790273589
Name:MARR HOLDINGS INC
Entity Type:Organization
Organization Name:MARR HOLDINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHRABYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-827-3563
Mailing Address - Street 1:6057 TUJUNGA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4203
Mailing Address - Country:US
Mailing Address - Phone:818-827-3563
Mailing Address - Fax:
Practice Address - Street 1:6057 TUJUNGA AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4203
Practice Address - Country:US
Practice Address - Phone:818-827-3563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0003049436-0001-4OtherBUSINESS LICENSE