MEDICARE: DORINE MARCELLUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376J00000X	Homemaker
3	372600000X	Adult Companion

General Provider Information

NPI Number	:	1417726035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORINE MARCELLUS

Provider Business Mailing Address
First Line	:	7607 AUSTIN WOODS LN
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21060-8918
Country	:	US
Telephone Number	:	516-265-2012
Fax Number	:

Provider Business Practice Location Address
First Line	:	7310 RITCHIE HWY # 200
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-3065
Country	:	US
Telephone Number	:	108-913-9814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2023
Last Update Date	:	12/04/2025

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Directions to “ DORINE MARCELLUS ” Practice Location

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