Healthcare Provider Details

I. General information

NPI: 1366535882
Provider Name (Legal Business Name): MARQUIS COMPANIES I, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 OAK PARK BLVD
PLEASANT HILLS CA
94523
US

IV. Provider business mailing address

1625 OAK PARK BLVD
PLEASANT HILLS CA
94523
US

V. Phone/Fax

Practice location:
  • Phone: 925-935-5222
  • Fax: 925-935-1710
Mailing address:
  • Phone: 925-935-5222
  • Fax: 925-935-1710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: PHIL FOGG
Title or Position: PRESIDENT
Credential:
Phone: 971-206-5200