Organization
MARTY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLETT RENEE MCDOWELL LPN (OWNER)
(937) 270-8455
Entity
Organization
Contact information
Practice address
5705 TERRACE PARK DR, DAYTON, OH 45429-6047
(937) 270-8455
(937) 439-0530
Mailing address
5705 TERRACE PARK DR, DAYTON, OH 45429-6047
(937) 270-8455
(937) 439-0530
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN. 153487-M-IV
OH
Other
Enumeration date
12/28/2013
Last updated
12/28/2013
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