Provider Demographics
NPI:1891448486
Name:MARKS, SHERRY L
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:L
Last Name:MARKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 E I65 SERVICE RD S STE C
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3123
Mailing Address - Country:US
Mailing Address - Phone:251-479-2299
Mailing Address - Fax:251-287-0722
Practice Address - Street 1:1111 E I65 SERVICE RD S STE C
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3123
Practice Address - Country:US
Practice Address - Phone:251-479-2299
Practice Address - Fax:251-287-0722
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide