Organization
MARAGE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUKIEA KAKOUCHE (OWNER)
(757) 985-4740
Entity
Organization
Contact information
Practice address
9313 SLOANE ST, NORFOLK, VA 23503-4329
(757) 985-4740
Mailing address
9313 SLOANE ST, NORFOLK, VA 23503-4329
(757) 985-4740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2477
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2477
—
VA
Enumeration date
01/20/2016
Last updated
02/18/2025
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