Provider Demographics
NPI:1902196041
Name:LIZMARC LTD.
Entity Type:Organization
Organization Name:LIZMARC LTD.
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-232-2433
Mailing Address - Street 1:4488 W BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3111
Mailing Address - Country:US
Mailing Address - Phone:810-232-2433
Mailing Address - Fax:819-232-2455
Practice Address - Street 1:4488 W BRISTOL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3111
Practice Address - Country:US
Practice Address - Phone:810-232-2433
Practice Address - Fax:810-232-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care