Healthcare Provider Details

I. General information

NPI: 1962713800
Provider Name (Legal Business Name): THE MARION HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W SEGUIN ST
MARION TX
78124-2116
US

IV. Provider business mailing address

316 W SEGUIN ST
MARION TX
78124-2116
US

V. Phone/Fax

Practice location:
  • Phone: 830-914-3371
  • Fax: 830-914-3371
Mailing address:
  • Phone: 830-914-3371
  • Fax: 830-914-3371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ELVIRA JENNIE CADENA
Title or Position: OWNER
Credential:
Phone: 830-914-3371