Provider Demographics
NPI:1699906834
Name:MHIRAMARC MANAGEMENT LLC.
Entity type:Organization
Organization Name:MHIRAMARC MANAGEMENT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMDINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNAND
Authorized Official - Middle Name:BAMBA
Authorized Official - Last Name:TARUC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-352-9560
Mailing Address - Street 1:8350 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2849
Mailing Address - Country:US
Mailing Address - Phone:818-352-9560
Mailing Address - Fax:818-352-9562
Practice Address - Street 1:8350 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2849
Practice Address - Country:US
Practice Address - Phone:818-352-9560
Practice Address - Fax:818-352-9562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based