Provider Demographics
NPI:1225854938
Name:MARIE'S OPEN ARMS LLC
Entity type:Organization
Organization Name:MARIE'S OPEN ARMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-823-2028
Mailing Address - Street 1:555 MARRIOTT DR STE 315
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-5088
Mailing Address - Country:US
Mailing Address - Phone:615-823-2028
Mailing Address - Fax:
Practice Address - Street 1:555 MARRIOTT DR STE 315
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-5088
Practice Address - Country:US
Practice Address - Phone:615-823-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care