Provider Demographics
NPI:1184262016
Name:MARILYN PERSONAL CARE SERVICES, INC.
Entity type:Organization
Organization Name:MARILYN PERSONAL CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-507-3592
Mailing Address - Street 1:9027 GUILDHALL DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-3533
Mailing Address - Country:US
Mailing Address - Phone:214-507-3592
Mailing Address - Fax:
Practice Address - Street 1:217 HAVENWOOD LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8911
Practice Address - Country:US
Practice Address - Phone:214-507-3592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty