Organization
MARVINS ROOM & RESPITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA DENNARD-MCDADE RN (OWNER)
(716) 994-3528
Entity
Organization
Contact information
Practice address
8 GARNET DR, CHEEKTOWAGA, NY 14227-2448
(716) 994-3528
Mailing address
8 GARNET DR, CHEEKTOWAGA, NY 14227-2448
(716) 994-3528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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