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Organization

MARCS AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL WIGGINS JR. (CHIEF FINANCIAL OFFICER)
(804) 301-8403
Entity
Organization

Contact information

Practice address
219 E CLAY ST, SUITE C, RICHMOND, VA 23219-1354
(804) 301-8403
Mailing address
PO BOX 26203, RICHMOND, VA 23260-6203
(804) 301-8403

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1429-05-001
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750515094
VA
Enumeration date
05/13/2009
Last updated
02/05/2014
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