Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Personal Care Attendant |
3747P1801X | |||
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
251T00000X |
| NPI Number | 1851547566 |
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| LBN Legal business name | MARTIN FAMILY SUPPORT SERVICES | ||||||||||||||||||||
| Authorized official | MAPLE MARTIN - (PROGRAM MANAGER/OWNER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 08/13/2008 | ||||||||||||||||||||
| Last updated | 01/07/2009 - About 17 years ago | ||||||||||||||||||||
| Identifiers |
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