Healthcare Provider Details

I. General information

NPI: 1104592047
Provider Name (Legal Business Name): DEMAREY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 08/20/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291- A ANNAS RETREAT
ST. THOMAS VI
00801-0080
US

IV. Provider business mailing address

PO BOX 9888
ST THOMAS VI
00801-2888
US

V. Phone/Fax

Practice location:
  • Phone: 340-998-1604
  • Fax:
Mailing address:
  • Phone: 340-998-1604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA HENRY
Title or Position: OWNER
Credential: CNA
Phone: 340-998-1604