Individual
MARIELINE FAUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 STARBLAZE DR, GREENACRES, FL 33463-5932
(561) 459-1050
(561) 459-3320
Mailing address
5015 STARBLAZE DR, GREENACRES, FL 33463-5932
(561) 459-1050
(561) 459-3320
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
233883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015247900
—
FL
Enumeration date
02/09/2016
Last updated
02/09/2016
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