Organization
MARK R LLC
Active
Other names
help home care
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIO REYES (OWNER/PRESIDENT)
(718) 600-2454
Entity
Organization
Contact information
Practice address
3762 85TH ST, JACKSON HEIGHTS, NY 11372-7347
(718) 600-2454
Mailing address
3762 85TH ST, JACKSON HEIGHTS, NY 11372-7347
(718) 600-2454
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04852186
—
NY
Enumeration date
09/25/2017
Last updated
01/09/2024
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