Provider Demographics
NPI:1023890613
Name:MARCDONIE HEALTHCARE MANAGEMENT
Entity type:Organization
Organization Name:MARCDONIE HEALTHCARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT AGENT
Authorized Official - Prefix:
Authorized Official - First Name:ADE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-629-9243
Mailing Address - Street 1:5011 EUGENE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5012
Mailing Address - Country:US
Mailing Address - Phone:443-579-6110
Mailing Address - Fax:
Practice Address - Street 1:36 COACH LANTERN LN W
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-8508
Practice Address - Country:US
Practice Address - Phone:443-629-9243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty