Provider Demographics
NPI:1912350240
Name:MARVELOUS CARE HOMES LLC
Entity Type:Organization
Organization Name:MARVELOUS CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:MOU
Authorized Official - Last Name:CHE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:410-300-6941
Mailing Address - Street 1:13104 LOCKWOODS PROGRESS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6319
Mailing Address - Country:US
Mailing Address - Phone:410-300-6941
Mailing Address - Fax:
Practice Address - Street 1:13104 LOCKWOODS PROGRESS DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6319
Practice Address - Country:US
Practice Address - Phone:410-300-6941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities