DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BROOKE JADE MARRIOTT

MEDICARE: BROOKE JADE MARRIOTT
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1316570559
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE JADE MARRIOTT
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 120 N WASHINGTON SQ STE 300
Second Line :
City : LANSING
State : MI
Zip : 48933-1658
Country : US
Telephone Number : 517-224-1403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 02/17/2020

Similar Medicare Providers

1184238966 — BRIDGECARE MEDICAL
Practice Location Address:
120 N WASHINGTON SQ STE 300
LANSING, MI
48933-1658
Practice Phone: 517-258-0344
Practice Fax: 517-879-0374
1144373812 — MR. MARK CANNIZZARO PHD
Practice Location Address:
120 N WASHINGTON SQ STE 300
LANSING, MI
48933-1658
Practice Phone: 734-210-1854
Practice Fax: 517-627-1289
1487286357 — MS. HANNAH MARIE MORROW
Practice Location Address:
120 N WASHINGTON SQ STE 300
LANSING, MI
48933-1658
Practice Phone: 888-805-0759
Practice Fax:
1063047041 — MARYSA WILBURN
Practice Location Address:
120 N WASHINGTON SQ STE 300
LANSING, MI
48933-1658
Practice Phone: 517-224-1403
Practice Fax:
1598362451 — MICHAELA BRINKER
Practice Location Address:
120 N WASHINGTON SQ STE 300
LANSING, MI
48933-1658
Practice Phone: 888-805-0759
Practice Fax:
1487524880 — CONCORD HOMECARE LLC
Practice Location Address:
120 N WASHINGTON SQ STE 300
LANSING, MI
48933-1658
Practice Phone: 517-370-2273
Practice Fax:

Directions to “ BROOKE JADE MARRIOTT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.