Provider Demographics
NPI:1174122691
Name:MARLENE GARCIA
Entity type:Organization
Organization Name:MARLENE GARCIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:KRISSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ DE GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-465-8204
Mailing Address - Street 1:3018 FURMAN LN APT 302
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3018 FURMAN LN APT 302
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1024
Practice Address - Country:US
Practice Address - Phone:571-465-8204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care