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Organization
DAVID E MARSHALL ENTERPRISES INC
Active
Organization
DAVID E MARSHALL ENTERPRISES INC
Active
Other names
MARSHALL GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E MARSHALL PRESIDENT (CEO)
(813) 416-6237
Entity
Organization
Contact information
Practice address
2417 ROANOKE SPRINGS DR, RUSKIN, FL 33570-6335
(813) 416-6237
(888) 415-7176
Mailing address
2417 ROANOKE SPRINGS DR, RUSKIN, FL 33570-6335
(813) 416-6237
(888) 415-7176
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
M624165780300
FL
385H00000X
Respite Care
Primary
001649600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001649600
—
FL
01
—
39966418
HOMEMAKER CHOMPANION AGENCY
FL
01
—
5277-6-GA
GROUP HOME
—
Enumeration date
12/28/2015
Last updated
12/28/2015
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