Provider Demographics
NPI:1891503009
Name:A THOUSAND MARBLES LLC
Entity type:Organization
Organization Name:A THOUSAND MARBLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KIRUNDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:339-970-4675
Mailing Address - Street 1:208 WACHUSETT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2452
Mailing Address - Country:US
Mailing Address - Phone:339-970-4675
Mailing Address - Fax:
Practice Address - Street 1:208 WACHUSETT ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2452
Practice Address - Country:US
Practice Address - Phone:339-970-4675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care