MEDICARE: MRM ENTERPRISES, INC.

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
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1346488624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRM ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	410 N DILLARD ST
Second Line	:	SUITE 102
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-2853
Country	:	US
Telephone Number	:	407-877-0720
Fax Number	:	407-386-3210

Provider Business Practice Location Address
First Line	:	410 N DILLARD ST
Second Line	:	SUITE 102
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-2853
Country	:	US
Telephone Number	:	407-877-0720
Fax Number	:	407-386-3210

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MR. RAOUL M GUERRA
Credential	:
Telephone Number	:	407-877-0720

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	05/14/2019

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