MEDICARE: MAEBAR 3 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1902744428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAEBAR 3 LLC

Provider Business Mailing Address
First Line	:	1932 FLEMING RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-1812
Country	:	US
Telephone Number	:	336-664-5787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 FLEMING RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-1812
Country	:	US
Telephone Number	:	336-664-5787
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDWARD EGGER
Credential	:
Telephone Number	:	206-201-9184

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/25/2026

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Directions to “MAEBAR 3 LLC ” Practice Location

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