Provider Demographics
NPI:1649706953
Name:MARIAN FAMILY HOMECARE
Entity type:Organization
Organization Name:MARIAN FAMILY HOMECARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKWARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-395-3878
Mailing Address - Street 1:5009 CINNAMON DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-6202
Mailing Address - Country:US
Mailing Address - Phone:980-395-3878
Mailing Address - Fax:
Practice Address - Street 1:5009 CINNAMON DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-6202
Practice Address - Country:US
Practice Address - Phone:980-395-3878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health