Provider Demographics
NPI:1871817130
Name:VIRGILE, MARIE (HHA)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:
Last Name:VIRGILE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 NW 45TH TER
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6625
Mailing Address - Country:US
Mailing Address - Phone:954-708-4857
Mailing Address - Fax:
Practice Address - Street 1:1109 NW 45TH TER
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-6625
Practice Address - Country:US
Practice Address - Phone:954-708-4857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide