Provider Demographics
NPI:1790407625
Name:A MARKS THE SPOT
Entity Type:Organization
Organization Name:A MARKS THE SPOT
Other - Org Name:NKA
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-417-8105
Mailing Address - Street 1:222 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8728
Mailing Address - Country:US
Mailing Address - Phone:910-621-5253
Mailing Address - Fax:
Practice Address - Street 1:222 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8728
Practice Address - Country:US
Practice Address - Phone:910-621-5253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care