<Unavail>

LBN: Marjo Home Supply
<Unavail> is an health care organization with primary practice located at 712 E Fayette St , Syracuse NY 13210-1512. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Marjo Home Supply can be contacted via phone (315) 422-6211, or through Williams, Mark L via phone (315) 422-6211.

Contact Information

Primary practice address
712 E Fayette St Syracuse NY 13210-1512
Phone: (315) 422-6211
Fax: (315) 479-5660
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mark L
Phone: (315) 422-6211

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X New York

Profile Details

NPI number 1982602256
LBN Legal business name Marjo Home Supply
DBA Doing business as <Unavail>
Authorized official Williams, Mark L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982602256 NPPES
New York MEDICAID 00613763

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