Provider Demographics
NPI:1093960791
Name:MARCHE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MARCHE HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MACPHERSON
Authorized Official - Middle Name:MNAMDI
Authorized Official - Last Name:MBAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-997-4174
Mailing Address - Street 1:6 COACH LEE HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458
Mailing Address - Country:US
Mailing Address - Phone:240-997-4174
Mailing Address - Fax:912-681-6802
Practice Address - Street 1:6 COACH LEE HILL BLVD
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458
Practice Address - Country:US
Practice Address - Phone:240-997-4174
Practice Address - Fax:912-681-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIM071544251E00000X, 253Z00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care