Provider Demographics
NPI:1336965771
Name:MCMASTERS MANAGEMENT GROUP LLC
Entity type:Organization
Organization Name:MCMASTERS MANAGEMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-588-3514
Mailing Address - Street 1:2633 OLIVERS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:STALEY
Mailing Address - State:NC
Mailing Address - Zip Code:27355-8251
Mailing Address - Country:US
Mailing Address - Phone:336-223-6772
Mailing Address - Fax:
Practice Address - Street 1:2633 OLIVERS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:STALEY
Practice Address - State:NC
Practice Address - Zip Code:27355-8251
Practice Address - Country:US
Practice Address - Phone:336-588-3514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health