Provider Demographics
NPI:1982969911
Name:MARION SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:MARION SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STROH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-620-3501
Mailing Address - Street 1:1101 SW 20TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8885
Mailing Address - Country:US
Mailing Address - Phone:352-620-3501
Mailing Address - Fax:352-629-6122
Practice Address - Street 1:1101 SW 20TH CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8885
Practice Address - Country:US
Practice Address - Phone:352-620-3501
Practice Address - Fax:352-629-6122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL227571253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024885100Medicaid