Organization
MARVERLY ENTERPRISES, LLC
Active
Other names
Marverly Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAMPTON (ADMINISTRATOR)
(505) 382-5876
Entity
Organization
Contact information
Practice address
1405 NM HWY 124, CUBERO, NM 87014
(505) 382-5876
(505) 933-3458
Mailing address
PO BOX 176, CUBERO, NM 87014-0176
(505) 382-5876
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3627
HOME HEALTH CARE AGENCY
NM
Enumeration date
05/21/2019
Last updated
05/21/2019
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