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NPI Code Detail

MEDICARE: MARCIA FAMILY HOME LLC

MEDICARE: MARCIA FAMILY HOME LLC
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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1316870819
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARCIA FAMILY HOME LLC
Provider Business Mailing Address
First Line : 5057 N 19TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-5762
Country : US
Telephone Number : 414-716-5971
Fax Number :
Provider Business Practice Location Address
First Line : 5057 N 19TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-5762
Country : US
Telephone Number : 414-716-5971
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. MARCIA MAXWELL
Credential :
Telephone Number : 414-716-5971
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

Similar Medicare Providers

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Directions to “MARCIA FAMILY HOME LLC ” Practice Location

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