MEDICARE: MARORIE HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1174096218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARORIE HOMECARE LLC

Provider Business Mailing Address
First Line	:	10203 ALOUETTE DR
Second Line	:
City	:	WAXHAW
State	:	NC
Zip	:	28173-4110
Country	:	US
Telephone Number	:	908-265-4357
Fax Number	:

Provider Business Practice Location Address
First Line	:	8501 TOWER POINT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7849
Country	:	US
Telephone Number	:	908-265-4357
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NDUKA GIDAMA
Credential	:
Telephone Number	:	908-265-4357

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	01/10/2019

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Directions to “MARORIE HOMECARE LLC ” Practice Location

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