MEDICARE: MARGACHEL ENTERPRISES, 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
1	253Z00000X	In Home Supportive Care Agency	HC4355	NC

General Provider Information

NPI Number	:	1366786659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGACHEL ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	1451 S ELM EUGENE ST
Second Line	:	BOX 60
City	:	GREENSBORO
State	:	NC
Zip	:	27406-2200
Country	:	US
Telephone Number	:	336-285-9480
Fax Number	:	336-285-9481

Provider Business Practice Location Address
First Line	:	1451 S ELM EUGENE ST
Second Line	:	BOX 60
City	:	GREENSBORO
State	:	NC
Zip	:	27406-2200
Country	:	US
Telephone Number	:	336-285-9480
Fax Number	:	336-285-9481

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. PHILIP D STRINGER
Credential	:
Telephone Number	:	336-285-9480

Provider Enumeration Date	:	11/27/2012
Last Update Date	:	11/27/2012

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