Organization
MARYS AMAZEN TRANSPORTATION
Active
Parent organization
MARYS AMAZEN HOMECARE LLC
Other names
Mary's Amazen Homecare LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYS AMAZEN HOMECARE LLC
Authorized official
MARLA Y STEELE-MCGILL MBA, MHSA (DIRECTOR)
(551) 226-2448
Entity
Organization
Contact information
Practice address
4819 EMPEROR BLVD, DURHAM, NC 27703-0089
(551) 226-2448
Mailing address
4804 PAGE CREEK LN, DURHAM, NC 27703-8582
(551) 226-2448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-191-2546
PECOS
NC
05
—
84-1912546
—
NC
Enumeration date
02/09/2023
Last updated
04/10/2025
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