1770703332 NPI number — MARRAKECH RESIDENTIAL SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770703332 NPI number — MARRAKECH RESIDENTIAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARRAKECH RESIDENTIAL SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770703332
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 LUNAR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODBRIDGE
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06525-2322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-389-2970
Provider Business Mailing Address Fax Number:
203-389-3908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 WILDWOOD TER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06516-4851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-397-5991
Provider Business Practice Location Address Fax Number:
203-937-5991
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ANDRUS
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
LENZ
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
203-389-2970

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com