MEDICARE: MARC COMMUNITY RESOURCES, 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	320800000X	Mental Illness Community Based Residential Treatment Facility	BH-2067	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992911226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARC COMMUNITY RESOURCES, INC.

Provider Business Mailing Address
First Line	:	924 N COUNTRY CLUB DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-4108
Country	:	US
Telephone Number	:	480-969-3800
Fax Number	:	480-644-1557

Provider Business Practice Location Address
First Line	:	6433 E QUARTZ ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-0948
Country	:	US
Telephone Number	:	480-969-3800
Fax Number	:	480-644-1557

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	MICHAEL FRANCZAK
Credential	:
Telephone Number	:	480-969-3800

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	11/12/2012

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Directions to “MARC COMMUNITY RESOURCES, INC. ” Practice Location

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