MEDICARE: MARNDERS COMMUNITY FOUNDATION

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	:	1356063077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARNDERS COMMUNITY FOUNDATION

Provider Business Mailing Address
First Line	:	10331 BARRINGTON PARK CIR
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-6197
Country	:	US
Telephone Number	:	301-728-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	7918 JONES BRANCH DR FL 4
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3319
Country	:	US
Telephone Number	:	202-810-9611
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. YVONNE MARBELL
Credential	:
Telephone Number	:	301-728-7399

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	08/29/2023

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Directions to “MARNDERS COMMUNITY FOUNDATION ” Practice Location

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