MEDICARE: MARBLE WORKS, 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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1952054959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARBLE WORKS, INC

Provider Business Mailing Address
First Line	:	PO BOX 386
Second Line	:
City	:	CARLISLE
State	:	IA
Zip	:	50047-0386
Country	:	US
Telephone Number	:	515-989-9115
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 S 1ST ST
Second Line	:
City	:	CARLISLE
State	:	IA
Zip	:	50047-7601
Country	:	US
Telephone Number	:	515-202-3997
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TOBY TYLER
Credential	:
Telephone Number	:	515-202-3997

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	01/31/2022

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Directions to “MARBLE WORKS, INC ” Practice Location

Language	Start Address	Practice Location

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